NSW Dept Health 2001-02

NSW Department of Health
2001-02 Annual Report

WORKING AS A TEAM
Contents
Corporate section ....................................................................1-33
NSW Health system............................................................................2
Corporate charter ...............................................................................5
Organisation chart..............................................................................6
Executive members ............................................................................7
Highlights for the year ..................................................................8-10
Key activity results ......................................................................11-12
NSW Health performance achievements..................................13-21
Division performance..................................................................22-33
Financial section ....................................................................35-75
Performance against 2001-02 Budget Allocation.....................36-39
Certification of Accounts .................................................................40
Independent Audit Report ...............................................................41
Appendix section ..................................................................77-184
Glossary of terms ......................................................................187
Index ...............................................................................................189
NSW DEPARTMENT OF HEALTH

This work is copyright. It may be reproduced in whole or part for study
or training purposes, subject to the inclusion of an acknowledgement
of the source. It may not be reproduced for commercial usage or sale.
Reproduction for purposes other than those indicated above, requires
written permission from the NSW Department of Health.
© NSW Department of Health
SHPN (COM) 020230

ISBN 0 7347 3498 0
For further copies of this document please contact:

Better Health Centre – Publications Warehouse
Locked Mail Bag 5003
GLADESVILLE NSW 2111
Tel. (02) 9816 0452
Fax. (02) 9816 0492
Further copies of this report can be downloaded from

the NSW HealthWeb site:
www.health.nsw.gov.au
November 2002
Letter to the Minister
The Hon. Craig Knowles MP

Minister for Health
Parliament House
Macquarie Street
SYDNEY NSW 2000
Dear Mr Knowles
In compliance with the terms of the Annual Reports (Departments) Act 1985, the Annual
Report (Statutory Bodies) Act 1984 and the Public Finance and Audit Act 1983, I submit the
Annual Report and Financial Statements of the NSW Department of Health for the
financial year ended 30 June 2002 for presentation to Parliament.
Copies are being sent to the Auditor General, Members of Parliament,Treasury, other
key government departments and Chief Executive Officers of Area Health Services.
Letter to the MINISTER

Yours sincerely
Robyn Kruk
Director-General
c
Corporate
Page
7
Contents
NSW Health system
Corporate charter
Organisation chart
Executive members
8 Highlights for the year
11 Key activity results for 2001-02
13 Department performance
13 – A. Realising the goals of NSW Health
16 – B. Sharing a clear direction
17 – C. Skilled valued workforce
18 – D. Working partnerships and engaging the community
20 – E. Informed decision making
21 – F. Embracing Innovation
22 Division achievements
22 – Audit
24 – Communications
26 – Executive and Corporate Support
28 – Operations
30 – Policy
32 – Public Health
1
NSW Health Annual Report
c NSW Health system
The aim of NSW Health is to provide

a sustainable health system for the
people of NSW, that not only meets
today’s health needs but also responds
to the health needs of the future.
By world
NSW Health system
standards, the
NSW Health is a large and complex system.
NSW public
It comprises the NSW Department of Health
health system and a group of public health organisations
provides high
that include rural and metropolitan Area
Health Services, the Ambulance Service of
quality of care to NSW, the Children’s Hospital at Westmead,
its community. Corrections Health Service and other affiliated
health organisations.
Public health organisations
NSW Department of Health The Health Services Act 1997 describes Area
The NSW Department of Health is Health Services and other legal entities within
responsible for providing the people of the NSW public health system as ‘public
NSW with the best possible health care. health organisations’.These organisations,
It also supports the statutory role of the which operate as separate entities within
Minister for Health and monitors the the NSW Health system, include 17 Area
performance of the NSW Health system. Health Services, the Ambulance Service of
NSW, the Children’s Hospital at Westmead
The Department makes recommendations to
and Corrections Health Service.
the Minister on funding public hospitals and
community health services, develops policy, Public health organisations play a major role
and manages public health issues and some in the planning, delivery and coordination
aspects of long-term and community care. of local health services.They are responsible
It is responsible for regulating private hospitals, for providing services such as public and
nursing homes, public and environmental health. community health, public hospitals, psychiatric
hospitals, emergency transport, acute care,
The SYSTEM
rehabilitation, counselling and many community

NSW Minister For Health support programs.These services are provided
in a wide range of settings, from primary care
Director-General
posts in the remote outback to metropolitan
tertiary health centres.
NSW Public Health
Department Organisations Affiliated health organisations are managed by
of Health
17 Area Health Services religious or charitable groups.These services
and facilities are recognised under the Health
Ambulance Service of
NSW
Services Act and are also an important part
of the NSW public health system.
Children’s Hospital at
Westmead
Corrections Health
Service
The structure of the NSW Health system
2
Annual Report NSW Health
NSW Health system
NSW Minister for Health

The Minister for Health is responsible for the
Departmental responsibilities
The NSW Department of Health has a
c
provision of health services within NSW. statewide responsibility to provide:
Under the Health Administration Act 1982, Advice to government
the Minister formulates policies to promote, Supporting the statutory role of the Minister
Each year there
protect, maintain, develop and improve the for Health through the provision of advice
health and well-being of the people of NSW, and other support functions. are over 2 million
given the resources available to the state. Policy and planning Emergency
The Minister is also responsible for Acts Undertaking system-wide policy and planning, Department
of Parliament relating to a range of health including inter-government relations, funding,
activities.The Hon. Craig Knowles MP health services resources and workforce. attendances in
was appointed Minister for Health in 1999.
Improvements in public health NSW public
Enhancing the health of the community hospitals.
Health Administration
through regulation, health promotion and
Corporation
managing emerging health risks.
The Director-General, as the Health
Performance management
Administration Corporation, has a pivotal
workforce relations role in the NSW public Improving the performance of the NSW
health system.The Corporation is the Health system through the use of performance
legal employer of health system staff for agreements and monitoring of property and
the purpose of negotiating and determining infrastructure management.
wages and conditions of employment, and Information
overseeing industrial matters. Continuing to improve health by evaluating
and acting on information about the health
and well-being of the NSW population and
The NSW Department of Health the quality of health services.
is responsible for providing the
Community participation
people of NSW with the best Liaising with the public and stakeholders,
possible health care. including fostering partnerships with the
community, professionals and other bodies.
Operational management Regulatory functions

The SYSTEM
Managing licensing, regulatory and
The roles of both the NSW Minister for
enforcement functions directed at ensuring
Health and the Director-General are supported
compliance with Acts administered by
by the work undertaken by departmental staff.
the Health portfolio.
This work includes financial planning and
allocation, workforce relations, information Employee relations
systems development, asset and human Negotiating and determining wages and
resource planning and management, policy employment conditions, and developing
formulation, public health monitoring human resource policies for the NSW
and other support functions such as legal, Health system.
audit and administration. Corporate support
Providing the resources and support needed
to enable staff to effectively fulfill their roles.
3
c NSW Health system
Departmental organisation
The Department is administered through
Public health organisations
There are 17 Area Health Services (AHS), as
six main functional areas. well as the statewide services of the Ambulance
Service of NSW, the Children’s Hospital at
Audit
● Audit Westmead and Corrections Health Service.
NSW
● Information Systems Audit
Ambulances ● Policy Promulgation and Administration Area Health Services
● Special Projects ● Central Coast AHS
were sent out
● Staff Records Management ● Central Sydney AHS
858,827 times Far West AHS
Communications ●
in 2001-02, ● Information Production and Distribution ● Greater Murray AHS

● Marketing and Events ● Hunter AHS
253,927 more Media Unit
● ● Illawarra AHS
times than in ● Online Service Development ● Macquarie AHS
1994-95. Executive and Corporate Support ● Mid North Coast AHS
● Client Services ● Mid Western AHS
● Corporate Administrative Services ● New England AHS
● Corporate Computing Services ● Northern Rivers AHS
● Corporate Personnel Services ● Northern Sydney AHS
● Corporate Records Services
● South Eastern Sydney AHS
● Executive Support
● Freedom of Information and Board
● Southern AHS
Appointments ● South Western Sydney AHS
● Wentworth AHS
Operations
● Asset and Procurement Management ● Western Sydney AHS
● Employee Relations
Statewide Services
● Finance and Business Management
● Information Management ● Ambulance Service of NSW
● Legal and Legislative Services ● Children’s Hospital at Westmead
● Office of the Chief Nursing Officer ● Corrections Health Service
Policy
● Centre for Mental Health
The SYSTEM
● Consumer and Community Development

● Funding and Systems Policy
● Government Action Plan
● Government Relations
● Oral Health
● Primary Health and Community Care
● Statewide Services Development
Public Health
● Aboriginal Health
● Counter Disaster Planning
● Drug Programs Bureau
● Epidemiology and Surveillance
● Health Promotion
● Health Protection
● Public Health Business
● Research and Clinical Policy
4
Corporate charter
Corporate charter
The NSW Department of Health is
Our goals
● Healthier People
c
established under Section 6 of the Health
● Fairer Access
Administration Act 1982.The Department
supports the Minister for Health in ● Quality Health Care
performing his executive and statutory NSW waiting
● Better Value
functions.These functions include times for elective
‘promoting, protecting, developing,
surgery are
maintaining and improving the health
and well-being of the people of NSW, Our priorities among the
while considering the needs of the state The NSW Department of Health identified
lowest per capita
and the finances and resources available’. six priorities for 2001-2002 to 2002-2003.
compared with
Our values other states.

A. Realising the goals of NSW Health
Fairness
Striving for an equitable health system
and being fair in all our dealings. B. Sharing a clear direction
Respect
Recognising the worth of individuals C. Skilled valued workforce
through trust, courtesy, sensitivity and
open communication.
D. Working partnerships and
Integrity
engaging the community
Achieving ends through ethical means,
with honesty and accountability.
Learning and creativity
E. Informed decision making
Seeking new knowledge and understanding
and thinking with innovation. F. Embracing innovation
Effectiveness
Pursuing quality outcomes.
The Department’s performance in
Our vision 2001-2002 has been measured against
Creating the framework for the each of these priorities.
CHARTER
future of Health.
Some of the ways in which the Department
is implementing its priorities include:
Our purpose
● implementing policies arising from
Better Health, Good Health Care
the Government Action Plan
Our aim ● implementing the NSW Aboriginal

Health Strategic Plan
The aim of NSW Health is to provide a
sustainable health system for the people ● encouraging community participation
of NSW, that not only meets today’s health in departmental planning
needs, but also plans for the health needs ● improving quality of health services.
of the future.
5
c Organisation chart
COMMUNICATIONS *****
MINISTER FOR HEALTH
Craig Knowles
HEALTH SERVICE
BOARDS
Director
Liz Jakubowski
DIRECTOR-GENERAL *
Information Production Robyn Kruk
NSW Health and Distribution EXECUTIVE AND
Marketing and Events CORPORATE SUPPORT
is providing a Media Unit Director
AUDIT ****
Online Service Development Rosemary Milkins
health system Director
Victoria Walker
that is not only Client Services
PUBLIC HEALTH **
Corporate Administration Services
meeting today’s Deputy Director-General Audit Group
Corporate Computing Services
Chief Health Officer Information Systems Audit
Corporate Personnel Services
health needs, Dr Greg Stewart Policy Promulgation
and Administration Corporate Records Services
but is planning Aboriginal Health Special Projects Executive Support Unit
– Policy and Planning Staff Records Management Freedom of Information
for the health and Board Appointments
– Program Support and Evaluation
needs of the Counter Disaster Planning
Drug Programs Bureau
future. POLICY OPERATIONS ***
Epidemiology and Surveillance
Deputy Director-General Deputy Director-General
– Health Survey Program
Assoc Prof Debora Picone Robert McGregor
– Population Health Indicators
– Population Health Information
Centre for Mental Health Asset and Procurement
– Program for Enhanced Population Management Directorate
– Area Liaison
Health Infostructure
Organisation CHART
– Clinical Program – Asset Management Implementation

– Public Health Infrastructure
– Prevention Program – Asset Management Services
– Public Health Training and Development
– Regulatory Unit – Procurement Management
– Surveillance Methods
– Resources Program Employee Relations
Health Promotion
Consumer and Community – Human Resource Policy
– Health Promotion Strategies and Programs
Development
– Injury Prevention – Human Resource Services
Funding and Systems Policy
– Strategic Research and Development – Health Executive Service (SES)
– Casemix Policy
– Nutrition and Physical Activity – Industrial Relations
– Funding Policy
– Tobacco and Health – Employment Related Information
Government Action Plan
Health Protection Systems (ERIS)
Government Relations
– AIDS and Infectious Diseases – Executive Development
Oral Health
– Communicable Diseases Surveillance Finance and Business Management
Primary Health and Community Care
and Control – Accounts
– Violence Prevention
– Environmental Health and Water – Business Management
– Disability, Carers, Dementia
– Food Safety – External Reporting
– Primary Health and Equity
– Pharmaceutical Services – Finance
Statewide Services Development
– Private Health Care – Internal Reporting
– Clinical Services Planning
Public Health Division Business Unit – Treasury and IT Systems
– Health Services, Capital
Research and Development Information Management
and Technology Planning
Medical Education Training and Workforce – Enterprise Information Technology
– Strategic and Resource Planning
Quality and Clinical Policy – Health System Performance
Rural Health Service and Capital – Information and Business Solutions

Planning – Information Management and Support
Legal and Legislative Services
– Legal Advice
– Health Conciliation Registry
– Health Professionals Registration
Boards
Office of the Chief Nursing Officer
6
Executive members
MINISTER FOR HEALTH

The Hon. Craig Knowles MP
POLICY
DEPUTY DIRECTOR-GENERAL
COMMUNICATIONS
DIRECTOR
*****
c
Appointed Minister for Health Assoc Prof Debora Picone Liz Jakubowski
in April 1999. Debora Picone has a Liz Jakubowski joined the
background in nursing and Department in May 2002.
DIRECTOR-GENERAL * health administration. She has Much has been
She previously held
Robyn Kruk
a strong interest in health positions in corporate policy, achieved in
Robyn Kruk joined the service development and government relations and
Department in July 2002. planning, clinical leadership raising awareness,
new media at the ABC.
She has extensive experience and community based models She is a lawyer with a creating
in senior executive roles across of care. background in media and
the NSW public sector. She was momentum and
communications, film and
Deputy Director-General of the OPERATIONS *** new media production. increasing focus
Cabinet Office and Premier’s DEPUTY DIRECTOR-GENERAL
on reform
Department, and Director- Robert McGregor EXECUTIVE AND CORPORATE
General of the National Parks SUPPORT across the NSW
Robert McGregor has
and Wildlife Service. Earlier in extensive experience at senior DIRECTOR
health system.
her career she worked as a management level in the Rosemary Milkins
psychologist and child NSW public sector, having Rosemary Milkins joined
protection specialist in the occupied five chief executive NSW Health in 1997,
former Department of Youth officer positions. He re-joined after spending over 20 years
and Community Services. the Department in his current in the education portfolio.
Executive MEMBERS
position in July 1997. She has an extensive
PUBLIC HEALTH AND CHIEF
HEALTH OFFICER ** background in policy advice,
AUDIT **** corporate planning, media,
DEPUTY DIRECTOR-GENERAL
DIRECTOR ministerial liaison and strategic
Dr Greg Stewart
Victoria Walker issues management.
Dr Greg Stewart began work
Victoria Walker joined the
as the Chief Health Officer in * Michael Reid held the position
Department in 2002 from
October 2001. His previous of Director-General until
the Australian National Audit November 2001.
experience includes
Office. She has managed Robert McGregor acted in the
appointments as Director of
inquiries, audits and reviews position from November 2001
the Public Health Unit in to July 2002.
for the Commonwealth and
South Western Sydney AHS,
three states, and provided ** Dr Andrew Wilson held the
Director of Health Services in position of Deputy Director-
independent strategic advice
Central Sydney AHS and General Public Health and
to improve organisational Chief Health Officer until
Chief Executive Officer of
performance and effectiveness. October 2001.
Wentworth AHS.
*** Mike Wallace acted in
the position of Deputy
Director-General Operations
from November 2001 to
April 2002.
**** Anthony Clarke held the
position of Director Audit
until March 2002.
***** Wayne Geddes acted in the
position of Director
Communications from
September 2001 to May 2002.
7
c Highlights for the year
$8.34B NSW Health Budget

In June 2002 the NSW Government announced
Rural Hospital and
Health Service Program
an all time record of $8.34B funding for the The NSW Rural Hospital and Health Service
NSW health system for 2002-03.This exceeds Program was established in response to
by $240M the NSW Government’s March 2000 recommendations from the Sinclair Report
Nurses are the commitment that by 2002-03 recurrent health on Health Services in Smaller Towns.
heart and soul expenditure would increase to $8.1B.
The program was launched in early 2002 and
of our hospital Additional growth funding of $128M is being includes the development of integrated rural
provided to Health Services in 2002-2003, on hospitals and health services, primary health
system.
top of $168M over the two years since July 2000. care services and other possible service models.
An additional $20M annual enhancement The Rural Hospital and Health Service
funding for mental health services to $127.5M model allows combinations of services under
annually will enable the provision of an extra one management structure. These services
226 mental health beds statewide. could include:
● acute services, including emergency
Hospital Info Web site and outpatient services
In March 2002, an exciting new feature was ● residential aged care services, nursing
launched on the NSW HealthWeb site. home or hostel services, or both
This new feature focuses on answering the
question What happens if you need to go to ● community based services, such as
hospital? and can be seen at: community nursing, physiotherapy, podiatry.
www.health.nsw.gov.au/hospitalinfo/
The redevelopment of health facilities in
The web site includes: 36 rural towns is underway.
● plain-English descriptions of what happens
when you go to Emergency Departments, Paediatric Networking
or are admitted to NSW public hospitals
Paediatric networking was established across
● how to find your nearest family doctor NSW providing a mechanism to link facilities
and what services they provide that treat children.The networks are guided by
● what happens if you need an ambulance the three children’s hospitals, Sydney Children’s
Hospital, the Children’s Hospital at Westmead
a detailed listing of all Emergency
HIGHLIGHTS
●
and the John Hunter Children’s Hospital.
Departments in NSW public hospitals, with
information on where they are located and The availability of networked services across
how to get there by public transport hospital and community settings is improving
● how NSW public hospital Emergency communication between all service providers
Departments are performing and enhancing care through common
management and clinical protocols.This will
● how the rate of day-only surgery in NSW
ensure improved access to services across
public hospitals has increased dramatically
over recent years, thus providing better NSW, through enhanced linkages to specialists
surgical services to patients between children’s hospitals, local hospitals,
general practitioners and community centres.
● increased breast cancer screening rates
and how screening has helped reduce the These linkages will provide all children in NSW
number of deaths from breast cancer with access to care, irrespective of where they
live and where they enter the health system.
● waiting times for procedures carried out
in NSW public hospitals.
8
Highlights for the year
Chief Health Officer’s Alerts

NSW Health is responsible for protecting and
In early 2002, the Bulletin was accepted for
inclusion in Index Medicus and MEDLINE.
c
As most literature reviews in the public health
improving the health of the people of NSW by
and biomedical fields start with a search of
ensuring information is available to help protect
MEDLINE, access to articles within the
the community from potential health risks
Bulletin will be enhanced. A listing of all
and hazards.The Public Health Unit Network
within the health system monitors, prevents The Bulletin is also available on the NSW Emergency
and controls disease outbreaks across NSW. HealthWeb site: www.health.nsw.gov.au/
Departments in
public-health/phb/phb.html
The Chief Health Officer provides accurate
NSW can be
and timely information on current and
emerging health issues or threats, such as
Institute of Clinical Excellence found on the
environmental health issues, food safety, In June 2001, the NSW Institute of Clinical
NSW Health
drugs, medical technologies and devices, Excellence (ICE) was established to improve
and biological and consumer products. the skill-base of health professionals and provide Hospital Info
more effective patient-focused health care. web site.
In March 2002, the Chief Health Officer
took advantage of the internet’s capabilities The Institute is an initiative developed in
and enhanced the distribution of public response to issues highlighted by the
health information by releasing warnings Government Action Plan.
and alerts on the NSW HealthWeb site: These issues include the need for education
www.health.nsw.gov.au/public-health/alert.html and training in methods and processes for
improved health care, better coordination
Since 1995, $4.3B has been invested and integration of care across professional
to help rebuild NSW hospitals and health care boundaries, education in the
and other health facilities. This is ‘management of change’ and setting priorities
for health services research.
the largest investment in health
The Institute’s mission is ‘to change health
infrastructure ever undertaken in
care across NSW to make it safer and better
the Southern Hemisphere. for patients’.
Public Health Bulletin ‘Nurses Re-Connect’ Initiative

indexed in MEDLINE
In January 2002, the NSW Government
HIGHLIGHTS
The NSW Public Health Bulletin has been offered full pay to nurses who returned to
produced up to 11 times a year by the the public hospital system while they refreshed
Public Health Division since May 1990. their skills, under a $1.8M initiative known
The Bulletin communicates information as the ‘Nurses Re-Connect’ Initiative.
on major public health issues and contributes This payment was designed to attract nurses
to the development of a well-trained and who were currently registered, or enrolled
informed public health workforce. but not nursing, back to the profession.
Copies are distributed nationally and Since the initiative has commenced it has
internationally and are accessed by public recruited over 600 nurses.The initiative
health workers in a variety of settings is a major step in reducing the strain on
including public health units, laboratories, NSW public hospitals caused by the acute,
primary care settings and councils. international nurse shortage.
9
c Highlights for the year
Health Participation Council

The Health Participation Council was
Professional indemnity issues
During the year the Department assisted
established to provide consumer and the Minister in formulating a statutory
community input into policy decisions and policy response to the medical indemnity
and provide better health information crisis in NSW.
NSW Health and education through an electronic directory
is committed of health services. NSW Health’s management of
to redeveloping The Council initiates and reviews consumer the ‘2001 Christmas bushfires’
and community participation in specific health The NSW Department of Health coordinated
health facilities
services and programs, and provides policy and managed all emergency health aspects
in rural towns. advice to the Department based on consumer of the ‘2001 Christmas bushfires’ with the
and community feedback. activation of the NSW HEALTHPLAN.
Throughout this 17-day period, more than 100
Mental Health Disaster fires burned in and around Sydney, destroying
Response 170 homes and 650,000 hectares of land.
The Mental Health Disaster Response Handbook
The NSW HEALTHPLAN was utilised by
prompted significant national and international
assisting in the evacuation of seven aged-care
interest when it was released. It was used in
facilities and 700 clients, and deploying eight
the United States to assist in the mental health
field disaster medical teams to support the
response to the World Trade Centre attack
10,000 community evacuees affected by the
and was also used by NSW Health in its
fires.The fact that no deaths or serious injuries
response to the bushfires that occurred in
directly resulted from this emergency is a
NSW in December 2001 and January 2002.
testament to the effort of all NSW Health
The handbook provides information about and Ambulance personnel.
the adverse psychological effects of disasters,
such as post-traumatic stress disorders,
depression, anxiety and widespread
longstanding psychological disability.
Participation in Health
The report of the Consumer and Community
HIGHLIGHTS
Participation Group, Partners in Health –

Sharing Information and Making Decisions Together,
was produced in 2001, and included
recommendations to develop participation
in health service planning and provide
improved health information and education.
‘Partners in Health’ recommended the
establishment of the Health Participation
Council to advise the NSW Minister for Health
on consumer and community participation.
The council held its inaugural meeting on
26 March 2002 and meets every two months.
The council is an important factor in ensuring
consumers and the community are involved in
decisions about health services in NSW.
10
Key activity results for 2001-02
Admissions
During 2001-02, there were 1,323,403
c
admissions to NSW public hospitals (including
contracted services).This represents a 0.2%
increase over the previous year.When those
patients who were treated on an ambulatory Areas outside
basis are accounted for, the increase rises to of the Sydney
2.2%. Same-day admissions increased by 2.8%.
metropolitan
Non-admitted patients area are now

There were more than 22.6 million getting a fairer
non-admitted patient services (NAPS)
Emergency Department access share of the
delivered across the health system
during 2001-02. During 2001-02, there were 2,000,120 health budget.
Emergency Department attendances.
Daily average of inpatients All patients attending Emergency
The number of patients in public hospitals Departments are categorised according to
on average each day was 17,002. clinical need into one of five classifications
called triage categories. Despite increased
Inpatient performance activity levels in 2001-02, 100% of the most
urgent (needing resuscitation) patients were
Bed occupancy increased by 0.8% to 87.4%.
treated immediately.
Average length of stay decreased by 2% to
4.9 days.
Activity RESULTS
Cost per admission 260
220
■ food supplies cost
per patient admission
180
■ drug supplies cost
$ Cost
140
■ medical and surgical supplies
cost per patient admission
100
■ special service department
60
■ fuel, light and power
158
177
172
204
188
223
194
237
101
48
89
39
46
88
36
49
95
40
49
41
20
1998/1999 1999/2000 2000/2001 2001/2002
Source. NSW Department of Health, 2002
11
c Key activity results for 2001-02
Summary of indicators for the NSW Public Hospital System 2001-02
Indicators 2001/02 Result % Change over 2000/01
Accessibility
Total admissions 1,323,403 0.2
Each year Admissions adjusted for reclassification1 1,458,555 2.2
Same day admissions 538,866 2.8
during winter, Non-admitted patient occasions of service2 22,629,220 10.5
Emergency Department attendances3 2,000,120 1.1
demand for Emergency Department attendances admitted 510,143 4.2
Patients in an immediately life threatening condition,
emergency
treated in 2 minutes (%)4 100 0.0
services places Patients in an imminently life threatening condition,
treated in 10 minutes (%) 4 78 6.8
extra pressures Complexity of Emergency Department attendances5 1.006 -0.9
on the hospital Efficiency

Bed occupancy rate (%) 87.4 0.8
system. Length of stay (days, including same day cases) 4.9 -2.0
Length of stay (days, excluding same day cases) 7.6 0.0
1.
Including admissions reclassified to non-inpatients.
2.
From 1 July 2001 the Commonwealth’s requirements changed, and in order to satisfy both the Commonwealth and NSW
Treasury reporting by provider type was introduced. Some non-admitted patients see more than one care provider and
receive care from each. In the past this care had not been separately counted. Most of the observed increase is due
to this additional counting and more detailed data collection coverage recorded.
3.
Change of 1.1% over the previous year is an estimate only because of the introduction of a new data collection system.
4
Source: Emergency Department Data Collection (EDDC). The EDDC includes 51 hospitals with an Emergency Department
classified to level 3 or above. Most hospitals in Metropolitan Area Health Services are included in the EDDC.
5.
Complexity is an index of resource intensiveness based on patient age, disposition and triage category.
Source: NSW Health Department, 2002

Activity RESULTS
The Winter Strategy Booked patient access

Each year during winter, demand for Same-day surgery or day-only surgery
emergency services places extra pressures on (where patients are admitted to hospital for
the hospital system.To meet this demand, a surgical procedure and discharged the same
additional general hospital beds were available day, thus avoiding spending time in hospital
across metropolitan Sydney hospitals throughout before and after an operation) increased from
the 2001 winter months. Staffing increased 57.1% in June 2001 to 58.3% in June 2002.
by about 350 equivalent full-time positions Increasingly hospitals are treating patients
between May and September 2001. on an ambulatory basis rather than admitting
Patients presenting to Emergency Departments them as inpatients for same-day surgery.
over the winter months are generally older This impacts on the same-day percentage.
and have a greater need for hospitalisation. The percentage of patients admitted to hospital
Available inpatient beds are, in turn, affected on the day of their surgery also increased from
by this group of patients who frequently stay 81% in June 2001 to 83% in June 2002,
for prolonged periods in the acute setting due surpassing the 80% target for this indicator.
to lack of access to rehabilitation and nursing The number of patients waiting longer than
home beds. As elsewhere throughout Australia, 12 months for booked surgery was reduced
access block performance declined in Sydney by more than 2,100 during 2001-02.
metropolitan hospitals.Access block performance Long-wait patient management continues
is a targeted area for statewide improvement. to be a focus for 2002-03.
12
Department performance during 2000-01
A Realising the goals of NSW Health

c
Strategy Achievements
A1 Support initiatives to ● Completed the Asset Management Framework and Reform Program. Asset and Procurement
improve the range, access Management
to and quality of health
services across the ● Developed the Security Prevention and Management of Violence Capital Program.
continuum of care, Asset and Procurement Management
targeting priority areas.
● Benchmarked operating theatre management processes and identified data for improving
performance. Health System Performance
● Developed and implemented the system for networking Emergency Departments across
Sydney metropolitan hospitals. Health System Performance
● Piloted the CHIME Community Health Clinical Information System in the Hunter AHS and began
a statewide evaluation process commencing with support for New England AHS from the new
Health Data Operations Centre at Liverpool. Information and Business Solutions
● Employed 600 nurses in both full and part-time permanent positions following the “Nurses
Re-Connect’ Initiative. Office of the Chief Nursing Officer, Marketing and Events
● Released Emergency Department and Intensive Care (Adult) Service Plans. Statewide Services
Development
● Facilitated the establishment of the three statewide paediatric networks, and planned and
allocated $2.5M funding for 50 clinical networking service projects across rural and metropolitan
NSW. Statewide Services Development
● Submitted the 2002-03 Asset Acquisition Program (AAP) to NSW Treasury. Asset and
Procurement Management and Statewide Services Development
● Established the Institute of Trauma and Injury Management, following the recommendations
of the Government’s Key Metropolitan Hospitals Report. Greater Metropolitan Transition
Taskforce (GMTT)
● Established the Sydney Heart Rescue Service with the provision of ventricular assist devices
in a networked approach. Statewide Services Development
● Developed the Selected Speciality and Statewide Service Plans for Pancreas Transplantation,
Liver Transplantation and Heart-Lung Transplantation. Statewide Services Development
PERFORMANCE
● Developed and introduced the NSW Oral Health Fee for Service Scheme. Oral Health
● Developed the Aboriginal Oral Health Strategy. Oral Health
● Developed Phase 1 quality indicators, which includes trends in separation rates and clinical
level data on a number of surgical procedures. Quality
● Held ‘Quality Week’ in October 2001. Quality, Marketing and Events
● Developed the Quality website ‘What happens if you need to go to hospital?’. Quality,
Information Production and Distribution, Online Service Development, Information
Management and Support, Health System Performance, Epidemiology and Surveillance
● Developed the The Clinician’s Toolkit for Improving Patient Care. Quality
● Printed and distributed the Program of Appliances for Disabled People (PADP) Guide.
Primary Health and Community Care, Information Production and Distribution
● Distributed the revised circular 200/100 – Protecting Children and Young People.
● Completed and implemented the NSW Aboriginal Maternal and Infant Health Strategy.
● Finalised the Mental Care in Emergency Department Guidelines. Centre for Mental Health
● Networked Child and Adolescent In-patient Services. Centre for Mental Health
● Finalised the Strategic Directions for NSW Aboriginal Health Coordinators. Aboriginal Health
● Endorsed the Implementation Plan for the Review of the Aboriginal Health Partnership
Agreement. Aboriginal Health
13
c Department performance during 2000-01
● Developed and implemented the Mental Health Bed Surveillance System. Centre for Mental
Health, Online Service Development
● Completed the transfer of Aboriginal Health Workforce issues and the recommendations of
national and state reviews of Aboriginal Health Worker training to the Aboriginal Workforce
Issues Unit. Aboriginal Health
● Implemented the first awards made under the newly developed guidelines for establishing the
Indigenous Undergraduate Medical Scholarship Scheme. Aboriginal Health
● Expanded methadone case management to include 100% of public patients, as well as the
number of treatment places available for methadone. Drug Programs Bureau
● Implemented the Pharmacotherapies Prescribers Accreditation Course. Drug Programs Bureau
● Released the revised Area of Need Criteria and Guidelines for the Improved Access to Medical
Services in Areas of Workforce Shortage. Medical Education, Training and Workforce
● Enhanced the Rural Physicians Training Network. Medical Education, Training and Workforce
● Established two additional orthopaedic training positions in rural NSW. Medical Education,
Training and Workforce
● Established the Medical Training and Education Council of NSW to support vocational training
in NSW. Medical Education, Training and Workforce
● Implemented key strategies of the NSW Tobacco Action Plan. Health Promotion
● Completed consultation on the NSW ‘Eat Well Nutrition’ Strategy. Health Promotion
● Reached contractual agreement for the NSW Skin Cancer Control Project. Health Promotion
● Held the ‘Nurses Re-connect’ Campaign event at Government House. Marketing and Events
● Held the ‘World No Tobacco Day’ event. Tobacco Unit, Marketing and Events
A2 Promote an evidence- ● Coordinated compliance monitoring activities for the Medically Supervised Injecting Centre.
based approach to Private Heath Care
health care, mental
Implemented the VARiS Radiotherapy Information System in the Illawarra Cancer Centre.
PERFORMANCE
●
health and public
health programs. Information and Business Solutions
● Implemented the reporting system for sexual assault. Information Management and Support
● Completed the Women’s Health Outcomes Framework. Primary Health and Community Care
● Conducted Child Oral Health Surveys for national reporting. Oral Health
A3 Enhance the ● Implemented routine screening for domestic violence in specified services in all Areas.
population-based Primary Health and Community Care
approach to improving
health status.
● Implemented and expanded the Housing for Health Programs in eight Aboriginal communities.
Environmental Health
● Implemented and expanded the Environmental Health Training Programs for Aboriginal people
in NSW. Environmental Health
● Completed the consultation processes on the NSW Falls Prevention Strategy.
Health Promotion
● Reached an agreement with NSW lead agencies for the development of the NSW Physical
Activity Plan. Health Promotion
● Implemented the NSW Heroin Overdose Reduction Strategy. Drug Programs Bureau
● Approved and funded demonstration projects for the implementation of the NSW HIV/AIDS
Health Promotion Plan and Forum. AIDS and Infectious Diseases
14

c
A4 Strengthen ● Developed new indicators and chapters for Health of the People of NSW – Report of the Chief
accountability Health Officer 2002. Epidemiology and Surveillance
and performance
evaluation mechanisms ● Published the NSW Mothers and Babies Report 2000. Epidemiology and Surveillance
to monitor the
achievement of
NSW Health goals.
A5 Develop an integrated ● Developed the State Procurement Plan. Asset and Procurement Management
planning, budget
and performance ● Developed the revised State Asset Management Plan and 10-year investment plan.
management cycle Asset and Procurement Management
for NSW Health
● Prepared an annual and three-year budget, financial estimates, allocations and priorities
to improve the
planning and delivery for negotiation with Treasury, and allocation to Health Services and other units.
of health services to Finance and Business Management
meet health needs.
● Monitored, controlled and reported on performances of the 2001-2002 budgets to Area Health
Services. Finance and Business Management
● Developed and reported on key performance indicators for Area Health Support Services.
Finance and Business Management
● Introduced and managed medical indemnity insurance for the treatment of public patients
in public hospitals. Finance and Business Management
● Developed integrated mental health planning, and a budget and performance management
cycle. Centre for Mental Health
A6 Provide support ● Implemented the Public Health (Skin Penetration) Amendment Regulation 2001.
and advice to the Environmental Health
Minister for Health and
manage legislative and ● Produced the Skin Penetration Guidelines, policy and procedures manual, code of best practice
regulatory functions. and industry fact sheets. Environmental Health, Information Production and Distribution
● Performed a ‘pilot audit of premises’ to optimise industry compliance with the skin penetration
PERFORMANCE
provisions outlined in the public health legislation. Environmental Health
● Administered the ‘issuing of authorities’ to medical practitioners, to allow the prescribing of
narcotic drugs for chronic pain relief and stimulant drugs for children with Attention Deficit
Hyperactivity Disorder (ADHD). Pharmaceutical Services
● Administered the NSW Methadone Program and Pharmacy Incentive Scheme.
Pharmaceutical Services
Develop statewide clinical service frameworks for chronic respiratory disease, cancer and
future initiatives
cardiovascular disease. Operations, Policy

● Set up a firm internal audit cycle for the Department and Statewide Audit Program, to advise
high risk areas and provide leadership in strategic improvement. Audit
● Develop clinical and preventative programs in mental health. Policy
● Develop and release the Sexually Transmitted Infections Strategy. Public Health
● Develop the web-based adult ICU bed surveillance system. Communications
15
B Sharing a clear direction
B1 Improve the knowledge ● Initiated the Electronic Health Record (EHR) Net project, which has obtained endorsement
and understanding of as a national HealthConnect lead site and will provide authorised secure access to essential
priorities and policies clinical information for chronic disease patients in the Hunter AHS and the Child Health Network
of NSW Health.
in Greater Western Sydney. Information and Business Solutions
● Published the Electronic Health Record Strategy. Information and Business Solutions
● Created web-based ‘area of need’ information pages, that include job vacancies and information
for overseas trained doctors and employers. Medical Education, Training and Workforce
● Conducted two job skills training seminars for overseas trained doctors. Medical Education,
Training and Workforce
B2 Increase leadership ● Implemented Leadership, Senior Executive and 11/12 Skills Management programs.
and management Corporate Personnel Services
capability and foster
teamwork within the ● Implemented departmental learning and development policies. Corporate Personnel Services
NSW Department
of Health.
Set future directions for health service costing and classification in specialist, statewide and
future initiatives
chronic care services. Operations, Policy

● Redesign Audit’s intranet site to improve the advice and information available to users. Audit
● Develop the health component of the NSW Government’s response to the NSW Childhood
Obesity Summit 2002. Public Health
● Revise the Occupational Health and Safety Management Plan. Executive and Corporate Support
● Produce and distribute the Departmental Publication Guidelines. Communications
PERFORMANCE
16
C Skilled valued workforce

c
C1 Implement and ● Implemented staff, team excellence and long service awards. Corporate Personnel Services
promote an improved,
comprehensive staff
● Implemented Mental Health Outcomes Assessment Tool (MH-OAT) ‘Train the Trainer’
performance workshops for mental health clinicians and provided guidelines for each attendee.
management system, Centre for Mental Health
to ensure that staff
in the Department
are aware of their
performance
expectations
and that their
achievements
are recognised.
C2 Increase mobility ● Established the Health Participation Council. Consumer and Community Development
and flexibility for
Department staff ● Developed the Short Term Employment Policy. Corporate Personnel Services
through equitable
● Provided access to skill development and educational opportunities for about 10,000 nurses
development
opportunities.
for a range of education initiatives that include:
– Orientation programs for specialty clinical areas (OPSCA), mental health education
and post enrolment programs
– Funding for College of Nursing education programs
– Transitional support funding for new graduate nurses and midwives
– Implementation of the ‘Nurses Re-Connect’ Initiative. Office of the Chief Nursing Officer,
Marketing and Events
C3 Recruit strategically ● Developed the Recruitment Rescuer Guide. Corporate Personnel Services
to ensure that the
Department has the ● Developed a ‘user friendly’ workbook and guide for school students undertaking nursing work
capacity to carry out experience. Office of the Chief Nursing Officer, Information Production and Distribution
core functions and to
Recruited two new trainee biostatisticians. Population Health Indicators
PERFORMANCE
●
address emerging
priorities. ● Created the new classification of Health and Security Assistant which combines security with
patient support roles. Employee Relations
● Supported management of violent incidents by providing $7.5M for security capital and $5M for
security-related personnel. Employee Relations
● Developed recruitment strategies for overseas radiation therapists. Statewide Services
Development
Develop guidelines and a model policy for safer working hours for clinicians.
future initiatives
Operations, Quality
● Audit will be one of the divisions piloting the Department’s new Coaching and Performance
System Program. Audit
● Implement initiatives from the Working Group on the Care of Older People in the NSW Health
system including the $5.5M Aged Care Services in Emergency Department Teams.
Clinical Policy
● Pilot an orientation and upskilling program for overseas trained doctors seeking employment
in rural areas. Public Health
● Conduct a review of security within the Department. Executive and Corporate Support
● Implement media training for departmental and Area staff. Communications
17
D Working partnerships and engaging the community
D1 Align departmental ● Awarded diplomas to recent graduates from the NSW Public Health Officer Training Program.
practice with Epidemiology and Surveillance
recommendations
of the Government ● Involved the community in the development of the statewide plans – Aboriginal and Torres Strait
Action Plan initiatives on Islander Substance Misuse Plan and the Youth Alcohol Plan. Drug Programs Bureau
community participation.
D2 Enhance provision of ● Developed the Drugs Programs Bureau (DPB) website. Drug Programs Bureau
information to the
● Launched the web version of the NSW Health Bulletin. Health Epidemiology and Surveillance
community at state level
and work with Health ● Developed ‘Chief Health Officer Public Health Alerts Online’, which alerts the community to
Services to enhance the environmental health issues, food safety, drugs, medical technologies and devices, biological
consistency and quality
and consumer products, and other emerging health issues or threats. Online Service Development
of information for local
communities.
D3 Promote partnerships ● Facilitated new public Magnetic Resonance Imaging services at Nepean and Liverpool hospitals.
as a fundamental Statewide Services Development
principle in delivering
public health and ● Established a Clinical Advisory Group for oral health. Oral Health
health services and ● Negotiated and signed the Memorandum of Understanding to merge Albury Hospital and
underlying health
Wodonga Regional Health Service into an integrated health service. Government Relations
system reform.
● Established a coordinated care trial in the Mid North Coast, focussed on improving the integration
of health services to the Aboriginal population. Government Relations
● Signed five-year and four-year cross-border funding agreements with Victoria and Queensland
respectively, which includes both inpatient and non-admitted services. Government Relations
● Conducted a lead Australian Health Ministers’ Advisory Council (AHMAC) review of Poisons
Information Services in Australia. Government Relations
● Established the NSW Care for Carers Program Departmental Committee Working Group.
● Began Phase 1 and approved Phase 2 funding of the Aboriginal Dementia Awareness Program
PERFORMANCE
Training (ADAP-T). Primary Health and Community Care

● Provided Reporting Guidelines for GP Partnerships, for Area Health Services.
Centre for Mental Health
● Promoted key health messages to indigenous children, through sponsorship of the ‘2001 CROC
Festival’ in Moree. Marketing and Events
● Held the second NSW Health Volunteers Day. Marketing and Events
● Promoted an anti-smoking message through sponsorship of the ‘2001 Rock Eisteddfod
Challenge’, which is an anti-drug event involving NSW schools. Marketing and Events
● NSW Premier launched NSW Health’s $300,000 sponsorship of the ‘Smoking, Don’t be a Sucker’
Swans/AFL High School Program. Marketing and Events
● Promoted the ‘Walk Safely to School Day’ statewide campaign. Marketing and Events
● Collaborated with the Rural Doctors Network to establish a service for the recruitment, employment
and registration of overseas trained doctors in NSW. Medical Education, Training and Workforce
D4 Foster where appropriate ● Developed the Rural Hospital and Health Service Program (previously titled SRHIST) strategy.
the development of whole (Phase 2 approved with 2002-03 Budget). Asset and Procurement Management
of government approaches
to public health and
health care delivery.
18
D Working partnerships and engaging the community

c
D5 Enhance the capacity ● Developed the Interagency Guidelines for the Management of Drug Misuse.
of communities to Drug Programs Bureau
initiate solutions to
health issues. ● Established the Mental Health Statewide Bed Management Coordination Group and increased
bed numbers. Centre for Mental Health
● Completed the Framework for Housing and Accommodation Support for People with Mental
Disorders and allocated resources to provide 118 supported accommodation beds.
Centre for Mental Health
● Launched the Health Participation Council web site and publication. Community Relations,
Online Service Development, Information Production and Distribution
Support quality improvements in health-funded non-government organisations. Operations

future initiatives
● A bulletin board will be set up on the Audit intranet site to assist communication between
NSW Health Internal Audit Units across the state, to provide information and to advertise
opportunities for involvement in future Audit projects. Audit
● Involve consumers and community representatives on key departmental committees. Policy
● Release continuously updated web-based reports from the NSW Health Survey Program.
Public Health
● Establish Health Quest and the Medical Appeals Panel as a Board.
Executive and Corporate Support
● Develop publications and brochures to promote and inform consumers about the Department
and its services. Communications
PERFORMANCE
19
E Informed decision making
E1 Provide a strategic ● Established the Enterprise Test Environment and Health Data Operations Centre.
approach to the The Greater Western Sydney Quadrangle Data Centre Strategy is also under development.
development and Enterprise Information Technology
management of
information systems, ● Extended the number of Telehealth services by a further 48 sites, involving 26 new or
technology and expanded clinical services, bringing the total number of facilities involved in Telehealth to 157.
infrastructure Information and Business Solutions
throughout NSW Health.
● Implemented the Information System for Oral Health (ISOH), completed statewide. Oral Health
E2 Manage NSW Health ● Developed and published an Enterprise Architecture for the NSW Health system.
information resources This is an Australian first and will be used to inform the strategic direction, coordination and
to improve access and integration of the major programs in the Information Management and Technology Strategy.
to enhance their Information and Business Solutions
relevance, timeliness,
accuracy and ● Developed and implemented policy and procedures for suspect mail items.
completeness. Corporate Records Services
● Developed and supported Tuberculosis Clinic Surveillance System.
Communicable Diseases Surveillance and Control
● Developed and implemented the Department of Health Readiness System (DOHRS)
website, to collect data on non-admitted patients. Online Service Development,
Information Management and Support
E3 Develop an information ● Provided training for staff in rural and remote areas through regular teleconferencing of the
culture within the ‘Bug’ Breakfast Seminars. Epidemiology and Surveillance
Department.
● Enhanced the content and utility of the Clinical Information Access Program. The number of
available on-line journals has increased from 40 to 423. Clinicians are also now able to access
medication information directly from hand-held devices. Information and Business Solutions
Implement a Statewide Incident Management System. Operations

PERFORMANCE
future initiatives
● Increase the capacity of Audit Division to deliver a wide range of strategic advice on
management issues. Audit
● Develop a new Australian Health Care Agreement that provides improved health outcomes.
Policy
● Complete a review of licences, with conditions for private hospitals, day procedure centres
and nursing homes. Public Health
● Implement the Corporate Services Network Strategy. Executive and Corporate Support
● Develop the best practice/clinical pathways intranet site. Communications
20
F Embracing innovation
c
F1 Develop specific ● Developed the NSW Health Technology Issues and Trends Website.
initiatives that Enterprise Information Technology
support innovation
across NSW Health. ● Promoted the Asset Management Framework and Performance Review.
Asset and Procurement Management
F2 Promote and share a ● Developed the governance and organisational structure for the Intellectual Property Policy.
culture of innovation Research and Development
within NSW Health.
● Published the Report on the Audit of Intellectual Property in Three Teaching Hospitals.
Research and Development
● Established the funding and structure for the NSW Institute for General Practice and Primary
Health Care Research. Research and Development
Implement networks for Primary Health Care, Palliative Care and Families First. Operations
future initiatives
● Implement a management information system into the Audit Division to improve time
management and project costing. Audit
● Facilitate data and monitoring systems for Emergency Departments and Intensive Care Units.
Policy
● Develop tools to improve compliance of public swimming pools, cooling towers, skin
penetration practitioners and the funeral industry with the regulations of the Public Health Act.
Public Health
● Implement the new Human Resources Payroll System, CHRIS, and deliver online employee
services in training, Occupational Health and Safety and workers’ compensation for
departmental staff. Executive and Corporate Support
● Develop media opportunities to profile innovations entered in the ‘Baxter 2002 NSW Health
Awards’. Communications
PERFORMANCE
21
c Audit
Achievements
● Developed the draft policy and
Major audits/investigations
● Fraud control strategy
– Far West and Northern Rivers AHSs
procedure for employment screening
of non-government organisations. ● Reporting of corrupt conduct
– Far West and Northern Rivers AHSs
● Developed and implemented the
Audit saved ● Child protection legislation and policy
employment screening policy for child-
$50,000 by related positions in the public health sector. ● Program of aids for disabled persons
● Review of Board remuneration
increasing the ● Performed positive audit findings of the
Staff Records Management Unit (SRMU) ● Audit of AHS business units
efficiency of Annual review of financial reporting
systems review on behalf of Crimtrac. ●
‘working with ● Presented information about employment Quality assurance reviews

children’ checks. screening, risk management and risk ● Ambulance Service Internal Audit
assessment to various professional boards, ● Western Sydney Internal Audit
unions, associations, health services and
private health organisations. Aus Health International
● Audit of creditors
● Identified and rectified potential risk areas
in public health sector organisations. ● Audit of debtors
● Audit of Information Technology controls
● Worked with the NSW Ombudsman’s
Office (child protection) to maintain a best Corrections Health Service
practice approach to risk management and ● Awards
investigations of child protection issues. ● Recruitment
● Achieved savings of $50,000 through Information Systems audits
increasing the efficiency of ‘working with
● Community Health Project
children’ checks.
● Patient Administration Systems Project
● Reviewed and modified student criminal
● Employee Related Information Systems
record checks, resulting in increased efficiency.
Comprehensive Reviews
● Provided input to NSW Government child ● Complete Human Resource Information
protection initiatives through membership System (CHRIS) payroll implementation
of the Police Ministry Child Protection
● UNIX security
(Offender’s Registration) Implementation
Committee, Ombudsman Interagency ● Aus Health Electronic Funds Transfer
Investigative Working Party, Ombudsman (EFT) and Network
Interagency Information Sharing Working
Party, NSW Children’s Commission and
DIVISIONS
the Approved Screening Agencies Committee.
22
Challenges
● Maintaining high level advice on audit and
Future initiatives
● Provide detailed advice and support to
c
investigation practice and procedures to improve risk management, corruption
health services. prevention and fraud control across
health services.
● Addressing emerging issues related to acquiring
information systems and contract management. ● Continue to develop and improve internal
audit, investigative and review mechanisms.
● Obtaining suitably qualified and experienced
information systems (IS) auditors. ● Extend the use of technology to manage
and conduct audits.
● Providing more timely and high quality service
within an increasingly complex legal environment. ● Improve both management information
and knowledge management systems.
● Reviewing and consolidating policies and
procedures to bring them in line with recent ● Improve and streamline Audit Division’s
legislation.The primary challenge is to develop advisory services to the NSW Health
robust, transparent processes and procedures that system and make more effective use of
incorporate procedural fairness to all investigation the NSW HealthNet.
and risk assessment participants.
● Provide training to Area Health Services
● Continuing to provide a high standard of service, in risk management/assessment, investigations,
with a reduced turn-around time. notifications and reporting guidelines, to
achieve a minimum standard of performance
amongst all agencies.
● Review and update the policy on
employment screening and risk analysis
of staff in NSW Health.
● Continue to support the Government Action
Plan for Health.
23
c Communications
Achievements
● Managed media communications for the
● Produced resources for the 2001 NSW
Health ‘Baxter Awards’.
‘Winter Campaign’, which educated the ● Developed the ‘Quality Week’ website, which
community about healthy choices and the informed consumers and clinicians across
challenges facing hospitals during winter. the state of local Quality Week activities.
Access to NSW
● Developed educational messages about ● Promoted, managed events and produced
Health’s internet anti-violence in hospitals to media and resources for the Government Action
the public. Plan symposium.
site increased by
● Provided media, public relations and ● Developed the communication strategy
an average of to inform food businesses about new safety
publication support for the ‘Nurses
200,000 page Re-Connect Initiative’ campaign, legislation requirements.
which resulted in hundreds of nurses ● Coordinated the launch of the ‘Smoking.
impressions per across the state returning to the public Don’t be a Sucker’ Swans/AFL High
month, compared hospital workforce. School Program to deliver anti-smoking
● Provided support for the Walker Report, messages to year seven students in 100 high
to the same
Metropolitan Services Report and chronic schools across NSW.
period in 2001. and complex care launches, as well as ● Coordinated both sponsorship and public
information on numerous public health relations for the 2001 ‘Walk Safely to
issues such as meningococcal disease, School Day’ campaign.
health awareness, and matters relating
to September 11 and its aftermath. ● Promoted the anti-smoking message
to NSW school children by providing
● Launched the hospital information sponsorship and public relations liaison
website What happens when I go to hospital?, for the 2001 ‘Rock Eisteddfod Challenge’.
which contains consumer information
about the services and performance ● Promoted the anti-alcohol message to
of NSW Health. indigenous children through sponsorship
of the 2001 ‘CROC Festival’.
● Developed the ‘Chief Health Officer
Public Health Alert’ section of the ● Promoted and coordinated 2002 NSW
NSW HealthWeb site to provide easy Health ‘Volunteers Day’ events.
consumer access to the latest health ● Developed promotional merchandise,
information fact sheets. media and public relations activities for
● Developed the ‘Mental Health Bed 2002 ‘World No Tobacco Day’.
Surveillance System’, which provides ● Produced 200 major departmental
health professionals with information publications, including the Department’s
about mental health beds and health Annual Report.
DIVISIONS
system resources.
● Distributed two million publication items
● Developed the Department of Health and responded to 50,000 calls regarding
reporting system ‘WebDOHRS’, an intranet publication requests and enquiries at the
tool that delivers non-admitted patient data Better Health Centre Publications Warehouse.
from AHSs to the Department.
● Developed the departmental Style and
● Coordinated, organised and managed Publication Guidelines.
the 2001 NSW Health ‘Baxter Awards’
● Produced the departmental Web Publication
and ‘Quality Week’.
Guidelines.
24
Challenges
● Managing the events, publications and committee
Future initiatives
●
c
Develop, manage, launch and monitor media
processes arising from the Government Action coverage of the Environmental Tobacco
Plan for Health. Smoke Campaign.
● Introducing more streamlined publication and ● Manage and coordinate the production and
distribution systems by moving towards more distribution of My Health Record, a user manual
web-based publishing. for patients with chronic illnesses.
● Identifying and evaluating improved mechanisms ● Provide strategic advice to the Department
for staff to communicate with each other within and AHSs on the best ways to communicate
the NSW Health system, as well as to consumers health messages to the wider community.
and the community.
● Redevelop the NSW Health internet site to
● Responding to the additional requests for health enhance accessibility to the Department’s
information on the NSW HealthWeb site. online services.
● Managing the growing volume of work required ● Assess and implement an effective web content
as more health services move online (eg the need management system.
for clinical reporting tools, monitoring systems, data
● Develop and produce a series of publications
collection modules, executive information systems).
to inform consumers about the Department’s
● Ensuring a coordinated response to all services.
departmental initiatives which require a
● Produce and distribute the Department’s Style
communications strategy to ensure that messages
and Publication Guidelines.
are targeted as effectively as possible to
stakeholders and members of the public. ● Develop a web-based Adult Intensive Care
Unit (ICU) Bed Surveillance System.
● Reviewing, monitoring and improving all aspects
of our production, distribution and communication ● Establish procedures to monitor, develop,
processes to ensure the best possible value to staff, prepare and approve all content published on
health consumers and the NSW public. the NSW HealthNet.
● Update the content and design of the
Department’s pregnancy-related publications.
● Prepare media releases and produce resources
to increase community awareness of influenza
vaccinations for adults and children.
● Develop, manage and coordinate the
communications, promotion and public
relations for the Child Obesity Summit.
● Develop media opportunities by profiling the
innovations entered in the ‘2002 NSW Baxter
Health Awards’.
● Coordinate the ‘2002 NSW Baxter Health
Awards’ function and the ‘Quality Week’
seminar to inform the community and health
system staff about ‘quality’ issues.
Plan for Health.
25
c Executive and Corporate Support
Achievements
● Coordinated the functional realignment
● Implemented a recycling initiative to
raise staff awareness of the environmental
issues related to the Department’s waste
of the Department to deliver a structure disposal practices.
to facilitate the achievement of
corporate objectives. ● Met projected savings through the
The application of energy efficiency plans.
● Revised and improved the induction
implementation program for new employees to include ● Enhanced telephone reporting and analysis.
ergonomic awareness, information Maintained Category A transport rating for
of Windows 2000 ●
technology fundamentals, electronic motor vehicle fleet.
has improved records, management and organisational
values, policies and procedures. ● Adopted a Records Management Policy
desktop security Statement.
● Conducted leadership and management
and lowered the skills programs to enhance the skills of ● Enhanced intranet usage for file requests
today’s managers and to prepare future and circular dissemination.
total cost of
leaders of the public health system. ● Introduced a new training program in
ownership within
● Presented awards for long service and staff briefings and parliamentary requirements
the Department. and team excellence to acknowledge and for Area Health Services and staff within
encourage high level staff performance the Department.
and commitment. ● Continued the expansion of the Electronic
● Expanded the traineeship program for Document Management Project to staff
Aboriginal and Torres Strait Islanders, within the Department.
resulting in increased workforce diversity ● Reviewed and updated the briefings and
and employment opportunities for trainees. ministerial ‘Easy Guides’.
● Implemented the new Human Resources ● Completed Half Term Board appointments.
payroll system, CHRIS, and retired
● Reviewed and redrafted an orientation
MicroPay for the Department.
manual for new Board appointees.
● Investigated the introduction of online
● Met all Freedom of Information deadlines.
‘Employee Self Service’.
● Implemented an organisational design
and development structure.
● Reduced workers’ compensation costs.
● Implemented leasing for all desktop PCs
and printers.
DIVISIONS
● Implemented email filtering to improve

virus protection and discourage
inappropriate use.
● Introduced Information Technology
Service Management (ITSM) to improve
service to users.
● Implemented Windows 2000 standard
operating system to improve security
of the desktop and lower the total cost
of ownership.
26
Challenges
● Allocating strategic resources.
Future initiatives
● Introduce an improved management
c
performance system.
● Maintaining an experienced workforce.
● Revise the Occupational Health
● Providing both accurate and timely services.
and Safety (OHS) Management Plan.
● Integrating both Freedom of Information
● Continue implementation of the new
and Board appointment functions into the
Human Resources/payroll system, CHRIS.
Executive Support Unit.
● Deliver online ‘Employee Self Service’
● Managing corporate reforms throughout the
in leave management, training and
Department.
OHS/workers’ compensation.
● Conduct a review of security.
● Implement the Corporate Services
Network Strategy.
● Implement the Online Tendering
and Review Procurement Policy
and procedures.
● Implement an improved IT remote
access solution.
● Establish guidelines for the practical
management of electronic records.
● Pilot an enterprise directory service
for NSW Health.
● Implement an IT security
management framework.
● Establish both Health Quest and the
Medical Appeals Panel as a Board.
● Continue the development of the
Executive Support Unit ‘Easy Guides’.
● Develop and implement the Disaster
Management and Vital Records policy.
● Develop and present records
management training courses.
● Review web-based services for
records management.
● Implement an electronic records
management policy.
Plan for Health.
27
c Operations
Major achievements
● Managed the distribution and monitoring
● Implemented the ‘Nurses Re-Connect’
Initiative, which has resulted in more
than 600 nurses returning to paid
of total NSW Health expenditure at a nursing employment.
record high of $8.01B.
● Introduced law reform, mandatory cover
● Invested $537M in the Asset Acquisition and industry regulation in medical
A new
Program, including new assets, indemnity, by the enactment of the Health
networking redevelopment and maintenance of Care Liability Act 2001 and regulation.
existing assets, invested in information
system for Established a data collection system for
management and health technology, and ●
Emergency received cash payments of $55.2M from the Health Care Liability Act.
the disposal of surplus properties. ● Achieved significant regulatory reform
Departments was
● Secured and monitored the achievement for certain health professions to streamline
implemented of budgets across NSW Health. implementation of legislation and enhance
accountability.
across Sydney ● Completed major new facilities for Coffs
Harbour Hospital, Manning Hospital, ● Prepared for the administrative and financial
metropolitan
Tweed Hospital Clinical Services Building, separation of the Chiropractors and
public hospitals. Hunter Pathology, Belmont,Wyong and Osteopaths Board into two separate Boards.
Nepean Drug and Alcohol Detoxification ● Developed and implemented a new system
Units, Grenfell and Wilcannia Multi-Purpose of networking Emergency Departments
Services and Taree Mental Health Unit. across Sydney metropolitan public hospitals.
● Developed strategic operation reform ● Developed strategies to reduce numbers
plans in asset management, supply chain of booked patients waiting longer than
procurement and private financing of 12 months.
major projects.
● Benchmarked operating theatre management
● Introduced Treasury Managed Fund cover processes and the use of operating theatre
for visiting medical practitioners to treat activities.
public patients in public hospitals.
● Began the Electronic Health Record Project
● Coordinated and represented the Health which will inform state and national
Administration Corporation (HAC) in the development of electronic health records.
Industrial Relations Commission in respect Strategy published.
of the claims for increased rates and
employment conditions for nurses and ● Implemented the Community Health
other staff classifications. Implementation Management Enterprise
(CHIME) through an initial pilot in Hunter
● Created the multi-functional occupational AHS and then New England AHS.
classification Health and Security Assistant,
DIVISIONS
in response to concerns about staff safety. ● Extended the number of Telehealth services
by 48 sites, involving 26 new or expanded
● Introduced pre-employment screening clinical services, bringing the total number
for security officers, and health and of facilities to 157.
security assistants.
● Increased the number of available online
● Developed incident management guidelines journals from 40 to 423 on the Clinical
with the Centre for Mental Health. Information Access Program.
● Provided $20M for nursing recruitment ● Developed privacy information brochures
and retention strategies, scholarships grants for clients and patients, and a privacy
and awards, including Rural Undergraduate training kit for staff.
Scholarships, Clinical Placement Grants
and Postgraduate Scholarships. ● Managed the delivery of net cost of services
results for NSW Health within agreed
NSW Treasury and departmental targets.
28
Challenges
● Providing a sustainable infrastructure to serve
Future initiatives
● Establish project governance and undertake
c
small rural and remote towns. project definition for the redevelopment of
Royal North Shore Hospital ($457M).
● Negotiating the State/Commonwealth funding
for the Australian Red Cross Blood Service, and ● Award contracts for the construction of the
the advancement of national issues surrounding Rural Hospital and Health Service Program,
the National Blood Authority. Phase 2 projects at Bourke, Hay, Kyogle and
Henty, and the further 14 projects in Phase 3.
● Finalising medical indemnity issues with the
Australian Medical Association, Rural Doctors ● Continue addressing the recruitment and
Association and Treasury. retention of nurses across NSW.
● Maintaining a skilled health workforce, including ● Target the recruitment of 1,000 additional
improving nurses’ working environments and nurses during calendar year 2003.
promoting nursing as an attractive career choice.
● Develop new legislation in the area of
● Developing new health-specific privacy legislation. Assisted Reproductive Technologies.
● Developing legislative proposals in response ● Develop significant amendments to the
to the recommendations arising from the inquiry Nurses Act to streamline regulation and
into certain practices at the Institute of Forensic enhance accountability.
Medicine at Glebe, by Bret Walker SC.
● Develop new legislative framework for
● Maintaining and enhancing information public health regulation.
technology systems and associated infrastructure
● Oversee the future development of a strategic
in a rapidly changing and costly environment,
approach to the management of information
to meet stakeholder expectations.
systems and technology infrastructure for the
● Developing a central cancer registry system. health professionals registration boards.
● Maintaining the momentum already established ● Introduce the NSW Health Capital
to complete the statewide rollout of patient Charging Policy.
administration and community health
● Implement the NSW Health ‘Supernet’
information systems and the unique patient
Telecommunications Network.
identifier, as a platform for the implementation
of the Electronic Health Record. ● Expand continuous quality improvement
projects, to reduce waiting times for
● Satisfying the high demand from the NSW Health
emergency patients to access beds and
system for corporate reports to meet business needs.
enhance weekend discharge.
● Creating quality assurance processes for inpatient
● Expand Telehealth services.
data, including identifying errors and creating
edits in the Health Information Exchange ● Coordinate consumer input in the development
(the Department’s data warehouse). of the Electronic Health Record.
● Implementation of the electronic marketplace ● Implement a NSW Health electronic
and e-catalogue procurement system. information security policy.
● Maintaining a harmonious industrial relations ● Develop new statewide data base collections
environment. for pharmacy, radiology, operating theatres
and pathology.
● Developing revised corporate governance
guidelines for NSW Health. ● Continue to support the Government Action
Plan for Health.
● Developing guidelines for an appointment,
credentialling and performance management
system for Visiting Medical Officers (VMOs).
29
c Policy
Major achievements
● Coordination of the Government Action
● Developed the Domestic Violence Policy
and Procedures.
Plan for Health. ● Drafted the Child Protection Service Plan.
● Coordination of NSW Health negotiation ● Developed a Consumer Guide to the Program of
for the Australian Health Care Agreements. Aids for Disabled People (PADP).
The Health
● Signed the Memorandum of Understanding, ● Established the Principal Adviser, Allied
Participation Health position.
which began the integration of
Council is Albury Hospital and Wodonga Regional ● Implemented the Accelerated Beds
Health Service. Program for Mental Health, which will
one way for
● Established coordinated care trials on the open 300 beds by July 2002, including
consumers and Mid North Coast, which provided health 118 supported accommodation beds.
community services to the Aboriginal population. ● Established the Mental Health Central
● Led the AHMAC review of poisons Coordination Unit (MH-CCU) to
members to have
information services in Australia. improve the access and management
a say about the of the Accelerated Beds Program.
● Developed the HEALTHshare model and
work of the improved health service coordination and ● Established Child and Adolescent Mental
planning, initially in the Hunter, Central Health Services Networks (CAMHSNET).
Department.
Coast and Far West Area Health Services. ● Began a two-year trial of 20 Emergency
● Developed guidelines for acute Department mental health consultation
management of young children and infants liaison nursing positions.
with gastroenteritis, management of ● Announced an additional $20M to the
a complaint or concern about a clinician, current $107.5M three-year Enhancement
and prevention of pressure ulcers. Funding Plan for mental health services.
● Published the Clinician’s Toolkit for Improving ● Developed and introduced the NSW
Patient Care. Oral Health Fee for Service Scheme.
● Piloted and introduced the Statewide ● Introduced rural and regional oral
Safety Strategy. health centres.
● Established the Aboriginal Vascular ● Improved the performance, data collection,
Health Network. monitoring and reporting for oral health
● Supported the development and release services.
of the Strengthening Health Care in the ● Enhanced rural health service infrastructure
Community Strategy. through the implementation of rural health
● Distributed $1.031M to 25 demonstrated minor works, rural accommodation, and
DIVISIONS
projects, under NSW Care for Carers clinical networks capital programs.
Program. ● Facilitated the provision of new public
● Began implementation of the NSW magnetic resonance imaging (MRI) services
Aboriginal Maternal and Infant Health at Nepean and Liverpool hospitals.
Strategy to improve the health of Aboriginal ● Published the Partners in Health report, which
mothers and babies. provides a framework for consumer and
● Developed the Transport for Health initiative. community participation in NSW Health.
● Completed a statewide review of the ● Established the Health Participation Council,
Ventilator Dependent Quadriplegia Program which allows the community and consumers
to inform future service development to have input in health system decisions
and management. made at a departmental level.
30
Challenges
● Refining the budget holding model for
Future initiatives
● Work with the Commonwealth and other
c
inter-area flows. states and territories, developing health
financing arrangements that are more patient-
● Implementing the recommendations of the
centred and focussed on health outcomes.
discussion paper Improving the Interface of
Aged-Acute Care. ● Develop a new Australian Health Care
Agreement that provides improved
● Developing appropriate care options and funding
health outcomes.
arrangements for older people
● Develop appropriate strategies to improve the
● Developing models of the health system to
recruitment and retention of GPs in rural areas.
explain impacts of policy and demographic
changes on health care. ● Implement initiatives from the Working Group
on the Care of Older People in the NSW
● Developing workforce strategies to meet health
Health system, including $5.5M for aged care
needs across NSW.
services teams in Emergency Departments.
● Developing strategies for improved rural and
● Involve consumer/community representatives
regional service delivery.
on key departmental committees.
● Attempting to change the culture of health care
● Develop NSW Health advice and
across the state from one of overcoming errors and
information services.
blame, to one of systemic clinical improvement.
● Revise the patient rights publication
● Partnering the Aboriginal community controlled
You and Your Health Service.
health sector in implementing the Aboriginal
Vascular Health Program. ● Set future directions for health service costing
and classification in specialist, statewide and
● Embedding evidence-based medicine guidelines
chronic care services.
across the public and private health care sectors
to facilitate continuity of care for patients. ● Develop the 2003-2004 Asset Acquisition
Program and Forward Infrastructure Strategy.
● Developing a training program for consumer
and community representatives, and guidelines ● Release the next five-year Radiotherapy
to support consumer representatives. Strategic Plan.
● Implementing ‘Strengthening Health Care in ● Implement the recommendations of the Rural
the Community’ across NSW, including model Health Implementation Coordination Group.
primary health care network projects.
● Facilitate data and monitoring systems
● Developing a policy framework for improving for Emergency Department and Intensive
relationships and building capacity in the Care Units.
Non-Government Organisation (NGO)
● Implement a standardised oral health public
Grant Program.
health model across NSW.
● Finalising home visiting guidelines under the
● Develop an oral health strategy for the aging.
Families First Strategy.
● Develop an oral health promotion strategy.
● Introducing the Aboriginal Men’s Health
Implementation Plan. ● Develop statewide clinical service frameworks
for chronic respiratory disease, cancer and
● Progressing recommendations from the
cardiovascular disease.
‘Roundtables on Sexual Violence’ in Aboriginal
communities. ● Implement a statewide incident
management system.
● Progressing file flagging in child protection cases.
● Establishing a reliable and valid data set for a high
Plan for Health.
volume PADP Program.
31
c Public Health
Achievements
● Began the development of a NSW Health
● Implemented the Housing for Health
Program in eight Aboriginal communities.
Aboriginal health impact statement. ● Convened the first biennial NSW
Environmental Health conference.
● Coordinated and managed all emergency
health aspects of the Christmas 2001 bushfires. ● Implemented regulatory amendments under
Public health
the Private Hospitals and Day Procedure
● Opened a 15 bed centre in both Wyong Centres Act 1988, Poisons and Therapeutic
measures the
and Penrith, providing inpatient and out Goods Act 1966 and Nursing Homes Act
occurrence of, patient detoxification services. 1988, to address the destruction of drugs
and factors that ● Contributed to a reduction in the deaths of addiction, family care licence class, hot
from heroin overdose from 400 in 1999 and warm water systems and the annual
contribute to and 249 in 2000, to 128 in 2001. collection of nursing staff data.
health and illness ● Introduced buprenorphine as a substitute ● Approved 344 ‘Area of Need’ positions,
in society. treatment for opioid dependence. and employed 166 overseas-trained doctors
in areas with workforce shortages.
● Established Area-based centralised intake
services for drug and alcohol clinics. ● Implemented the Rural Infrastructure
Grants Program to enhance the teaching
● Began continuous data collection across
and training of medical specialists, medical
the state under the NSW Health
trainees and students.
Survey Program.
● Implemented strategies to recruit and
● Developed prototype web-based information
retain rural general practitioners, including
systems for mortality data analysis, geographic
an overseas recruitment campaign and
information infrastructure and NSW
funding the coordination of doctors
Emergency Department data collection.
entering Australia.
● Published the NSW Mothers and Babies
● Funded and supported the coordination of
Report 2000, The NSW Health Survey Program:
training networks and workforce strategies
Overview and methods, 1996-2000 and 12
for rural physicians and paediatricians.
editions of the NSW Public Health Bulletin.
● Established two additional orthopaedic
● Hosted the National Computer Assisted
surgical training positions in rural NSW.
Telephone Interview (CATI) Forum.
● Developed the NSW Strategy for
● Implemented all National Health and
Biotechnology, ‘BioFirst’, which attracted
Medical Research Council (NHMRC)
$68M in new funds to biotechnology
recommended adult and childhood
in NSW.
immunisation programs.
● Completed the evaluation of the Premiers’
● Released the Hepatitis C Care and
DIVISIONS
Physical Activity Task Force.

Treatment Plan.
● Published the NSW Skin Cancer Prevention
● Implemented the HIV Health Promotion Plan.
Strategic Plan 2001-2005 and a guide to
● Maintained historic low levels of measles better practice in skin cancer prevention.
in NSW.
● Developed and launched a new website for
● Investigated and helped control a large Health Promotion.
outbreak of pneumonia due to psittacosis
● Established a strategic reference group with
(parrot fever) in the Blue Mountains.
education sectors to oversee best practice and
● Investigated two statewide outbreaks implementation of ‘Working with Schools
of salmonellosis. – a policy for the health system’.
32
Challenges
● Encouraging Aboriginal and Torres Strait Islander
Future initiatives
● Coordinate the implementation of agreed
c
people to join the health workforce. recommendations from the review of the NSW
Aboriginal Health Partnership Agreement.
● Strengthening collaboration between the public
health system, the Aboriginal community ● Continue to develop emergency management
controlled sector and other government agencies. communication systems both within NSW
Health and throughout the government,
● Managing community concerns over the location
to ensure an integrated and timely response
of drug and alcohol services.
to major incidents and disasters.
● Recruitment of general practitioners and
● Release the Health of the people of NSW –
pharmacists for the Methadone Program.
Report of the Chief Health Officer 2002 and the
● Achieving rapid expansion of services within Report of the NSW Child Health Survey 2001.
a changing workforce environment.
● Develop best practice guidelines for analysing
● Planning and mobilising the NSW Health response and reporting epidemiological data for small
to incidents of possible bio-terrorism (‘white geographical areas.
powder incidents’) in the wake of anthrax-related
● Achieve 95% immunisation coverage for
bio-terrorism in the United States.
NHMRC recommended vaccines.
● Developing new standards and methods for
● Develop and release the Sexually Transmitted
epidemiological data analysis, to address the
Infection Strategy.
transition to the ICD-10 coding system in major
health datasets. ● Strengthen surveillance of food-borne disease.
● Following up hundreds of people who reported ● Expand the Aboriginal Environmental Health
exposures to white powders that were thought Officer Trainee Program.
to contain anthrax (none did).
● Develop tools to improve public swimming
● Investigating pertussis cases and controlling pool, cooling tower, funeral industry and skin
further transmission of the disease. penetration practitioner compliance with
Public Health Act regulations.
● Investigating and controlling meningococcal
disease and managing the associated public distress. ● Pilot an orientation and up-skilling program
for overseas-trained doctors seeking
● Assessing potential health impacts of major
employment in rural Areas.
infrastructure projects.
● Support the NSW Summit on Childhood
● Establishing a system for the assessment of proposed
Overweight and Obesity and deliver the
releases of genetically modified organisms.
NSW Health component of the NSW
● Maintaining an innovative regulatory framework Government’s response to the summit.
for diverse service models across private hospitals,
● Implement the NSW Policy for Prevention
day procedure centres and nursing homes.
of Falls Among Older People.
● Managing ongoing difficulty in recruiting medical
● Develop regulatory framework for the
practitioners to rural posts.
funeral industry.
● Providing support and educational opportunities
to permanent resident overseas trained doctors
Plan for Health.
to achieve registration, gain employment and have
their qualifications recognised in Australia.
33
f
Financials
Page
36
40
41
42
Contents
Performance against 2001-2002 Budget Allocation
Certification of Accounts
Independent Audit Report
Statement of Financial Performance
43 Statement of Financial Position
44 Statement of Cash Flows
45 Program Statement Expenses and Revenue
46 Summary of Compliance with Financial Directives
47 Notes
35
f Performance against 2001-02 Budget Allocation
NSW Health is the major provider of

health services to the public. As a matter
While capital funding is shown in the Statement
of Finance Performance, capital expenditure is
of public policy, and under agreements not treated as an expense. By its nature, it is
with the Commonwealth, these services reflected in the Statement of Financial Position.
including those for public hospitals
The amount the Department receives from year
NSW Health is classified patients, are generally
to year for capital purposes varies in line with
provided at no charge to the users.
the major its Capital Works Program, but does influence
the amount reported as the ‘Result From
provider of 2001-02 Budget results Ordinary Activities’. The result reported is also
health services The Statement of Financial Performance influenced by the extent of third party
identifies that total expenses for 2001-02 contributions restricted by donor conditions.
to the public.
amounted to $8.01B or $21.96M per day,
which is a 6.8% increase over 2000-01. Expenses incurred throughout the health system
are varied but the major categories include:
User charges, where applied, are not based ● $4.82B for salaries and employee related
on full cost recovery nor on commercial
expenses ($4.54B in 2000-01)
returns, but instead reflect a contribution
to the operating costs of the supply. ● $69M for food ($64M in 2000-01)
Because of these financial arrangements, the ● $623M for drugs, medical and surgical
Department’s performance measurement supplies ($569M in 2000-01)
is best reflected in the net cost of providing ● $56M for fuel, light and power
those services. For the year ending 30 June ($54M in 2000-01)
2002, this net cost was $6.94B compared
● $320M for visiting medical staff
with $6.50B in 2000-01.
($292M in 2000-01).
The NSW Government increased its funding
The financial statements identify that, while
for operating and capital needs to the NSW
$338M was charged for depreciation on
Department of Health from the Consolidated
Property, Plant and Equipment, an amount
PERFORMANCE
Fund by $351M to $6.67B in 2001-02.

of $492M was incurred in capital expenditure.
Consolidated Funds are used to meet both This constitutes a real increase in the value
recurrent and capital expenditures, and are of health assets and reflects the significant
accounted for after Net Cost of Service is Capital Works Program to improve
calculated, in order to determine the NSW health infrastructure.
movement in accumulated funds for the year.
Key 2001-02 Financial Indicators
Indicators 2001/02 2000/01 Increase on Increase on

previous year previous year
$M $M $M %
Expenses 8,015 7,506 +509 +6.78

Revenue 1,069 1,012 +57 +5.63
Net Cost of Service 6,939 6,501 +438 +6.74
Recurrent Appropriation 6,235 5,939 +296 +4.98
Capital Appropriation 434 378 +56 +14.81
Net Assets 5,572 5,239 +333 +6.36
Total Assets 7,403 6,963 +440 +6.32
Total Liabilities 1,831 1,724 +107 +6.21
Source: Finance and Business Management Directorate, 2002
36
Expenditure of approved capital funds of $537M

was achieved in 2001-02.This expenditure
Beside this recurrent expenditure a further
$504M in Capital spending has been allocated
f
included capital works in Information for the rebuilding of hospitals and investment
Management and Technology, Health in information technology in the 2002-03
Technology, Capital Grants and Maintenance. NSW Health budget.
Since 1995,
Forward years Key initiatives 2002-03
$4.3B has been
The NSW Department of Health is responsible The NSW Government has achieved an all
invested to help
for implementing the NSW Government time record of $8.34B funding for the NSW
Action Plan for Health to achieve significant health system.This exceeds by $240M the rebuild NSW
improvements in the quality and effectiveness NSW Government’s March 2000 commitment
hospitals and
of health services across the NSW public that by 2002-03 recurrent health expenditure
hospital system. would increase to $8.1B. other health
The plan has been supported by substantial The government has continued its commitment facilities.
growth funding. Recurrent expenditure of to a three year recurrent health budget,
$8.34B is projected in 2002-03, representing an enabling clinicians and managers to plan for
increase of $1.406M over the 1999-2000 year. growth in demand and related service delivery
and workforce needs.
The 2002-03 estimated expenditure represents
an increase of some $3.05B or around a 58% $128M is being provided in additional growth
increase since 1994-95. funding to Health Services in 2002-03 on top of
$168M over the last two years since July 2000.
2001-02 Performance against Health Services Net Cost of Services Budgets
Health Service (brackets denote favourability) 2001/02 Budget Variation from Budget
$M $M %
Central Sydney Area Health Service 566.0 (4.3) (0.8)
PERFORMANCE
Northern Sydney Area Health Service 567.8 4.0 0.7
Western Sydney Area Health Service 707.8 (4.2) (0.6)
Wentworth Area Health Service 269.8 1.0 0.4
South Western Sydney Area Health Service 643.8 (2.0) (0.3)
Central Coast Area Health Service 253.9 (2.6) (1.0)
Hunter Area Health Service 529.6 (1.2) (0.2)
Illawarra Area Health Service 318.4 (0.7) (0.2)
South Eastern Sydney Area Health Service 818.1 2.1 0.3
Metropolitan Subtotal 4,675.2 (7.9) (0.2)
Northern Rivers Area Health Service 265.1 (1.5) (0.6)
Mid North Coast Area Health Service 256.2 0.1 0.0
New England Area Health Service 191.8 (0.7) (0.4)
Macquarie Area Health Service 126.9 (1.6) (1.3)
Mid Western Area Health Service 204.8 (1.2) (0.6)
Far West Area Health Service 84.7 (1.1) (1.3)
Greater Murray Area Health Service 246.1 0.5 0.2
Southern Area Health Service 206.9 (5.7) (2.8)
Rural Subtotal 1,582.5 (11.2) (0.7)
Ambulance Service 238.9 (11.0) (4.6)
The Children’s Hospital at Westmead 71.9 (3.3) (4.6)
Corrections Health 45.5 (0.8) (1.8)
Subtotal 356.3 (15.1) (4.2)
Issued Budgets 6,614.0 (34.2) (0.5)
37
f Performance against 2001-02 Budget Allocation
An additional $20M annual enhancement

funding for mental health services to $127.5M
● Other metropolitan services such as cardiac,
bone marrow transplantation and stroke
annually will enable the provision of an extra units within the greater metropolitan area
226 beds statewide. will also be enhanced. Funding to district
metropolitan hospitals will also be boosted
An extra $5M for oral health services in
New funding to provide a greater range of health care
2002-03 provides for an additional 4,000
services to their resident communities.
of $8.5M denture services to older persons across the
state on an annual basis, increases the delivery ● New funding of $8.5M in 2002-03 will
in 2002-03 of specialist oral health services and provides allow the establishment of new Intensive
will allow the new funding for Aboriginal oral health care. Care Unit beds at Westmead (four),
This is in addition to $20M annually provided Wollongong and Royal Prince Alfred
establishment Hospitals (two at each) and John Hunter,
from 2002-03.
of new Intensive St George, Liverpool and Royal North
Other recurrent funded initiatives include: Shore Hospitals (one each).
Care Unit beds
● A major metropolitan planning initiative
in seven major
In 2002-03 asset acquisitions in NSW Health
led by clinicians resulted in recurrent
will total $504M, part of a substantial Asset
enhancements of some $64M per annum,
hospitals. Acquisition Program amounting to $1.938B
which funded a range of specialist services
over the next four years, which is supported
such as severe burns, brain injury and spinal
by a guaranteed level of funding from
cord injury.
the government.
● A major government initiative scheduled
to commence from 1 December 2002, The provision of continued funding makes
will be to implement a Universal Newborn it possible to plan for long term construction
Hearing Screening Program across the state programs, eg the Central Sydney Resource
at a cost of some $8M. Transition Program ($395M), the Macarthur
Sector Strategy ($109M), the Newcastle
● Under the Rural Government Action Plan
Strategy ($235M), the Central Coast Health
for Health, additional funding of some $35M
Access Plan ($206M), Stage 2 of the Illawarra
PERFORMANCE
is being provided for a range of services

Strategy ($109M) and the Western Sydney
benefiting rural communities across NSW.
Strategy ($179M).
Total Assets and Liabilities as at 30 June 2002
Assets Liabilities
$7.40B $1.83B
Land and Building Receivables

Plant and Equipment Infrastructure Systems
Inventories Cash and Investments Payables Borrowings
Other Employee Entitlements Other
38
Consolidated Financial
Statements
This has been achieved by tabling the 2001-02
annual reports of each Health Service before
f
Parliament. For these purposes the report of
The Department is required under the
each Health Service should be viewed as a
Annual Reports (Departments) Act to present
volume of the NSW Department of Health’s
the annual financial statements of each of its
overall report. The provision
controlled entities.
of continued
funding makes
2001-02 Total Expenses Comparison
it possible to
Expenses Include 2001/02 2000/01 1999/00 1998/99 1997/98
$M $M $M $M $M plan for long
Salaries and employee related expenses 4,822 4,543 4,431 4,309 4,017 term construction
Food 69 64 64 62 65
Drugs, medical and surgical supplies 623 569 540 508 451 programs.
Fuel, light and power 56 54 52 48 53
Visiting medical staff 320 292 291 299 287
Two year comparison and percentage increase of initial Health Services

net cash allocations
2000/01 2001/02 Increase

Health Service $000 $000 $M %
Central Sydney Area Health Service 566.8 605.1 38.3 6.8

Northern Sydney Area Health Service 477.1 511.0 33.9 7.1
Western Sydney Area Health Service 517.3 555.4 38.1 7.4
Wentworth Area Health Service 196.3 212.1 15.8 8.0
PERFORMANCE
South Western Sydney Area Health Service 466.4 510.5 44.1 9.5
Central Coast Area Health Service 187.7 206.6 18.9 10.1
Hunter Area Health Service 445.1 480.8 35.7 8.0
Illawarra Area Health Service 225.9 246.3 20.4 9.0
South Eastern Sydney Area Health Service 750.4 820.3 69.9 9.3
Subtotal 3,833.0 4,148.1 315.1 8.2
Northern Rivers Area Health Service 197.0 218.6 21.6 11.0

Mid North Coast Area Health Service 171.1 195.5 24.4 14.3
New England Area Health Service 139.1 149.3 10.2 7.3
Macquarie Area Health Service 90.4 98.9 8.5 9.4
Mid Western Area Health Service 150.6 162.0 11.4 7.6
Far West Area Health Service 52.3 56.5 4.2 8.0
Greater Murray Area Health Service 185.5 195.0 9.5 5.1
Southern Area Health Service 126.7 133.7 7.0 5.5
Subtotal 1,112.7 1,209.5 96.8 8.7
Total Areas 4,945.7 5,357.6 411.9 8.3
Ambulance Service 153.7 167.9 14.2 9.2

The Children’s Hospital at Westmead 108.1 120.7 12.6 11.7
Corrections Health 28.1 34.8 6.7 23.8
Total 5,235.6 5,681.0 445.4 8.5
Note: These figures reflect annual Net Cash Allocations for 2000-01 and 2001-02.
39
f Certification of Accounts
October 2002
CERTIFICATION
40
Independent Audit Report
f
Audit REPORT
41
f Actual
Statement of Financial Performance
for the year ended 30 June 2002
PARENT
Budget Actual Notes
CONSOLIDATED
Actual Budget Actual
2002 2002 2001 2002 2002 2001
$000 $000 $000 $000 $000 $000
Expenses
Operating Expenses
79,573 78,335 64,292 Employee Related 3 4,822,156 4,756,024 4,542,516
258,464 263,700 215,448 Other Operating Expenses 4 2,045,133 1,908,594 1,874,794
1,031 954 928 Maintenance 5 220,662 200,780 197,815
7,475 5,797 5,393 Depreciation and Amortisation 6 337,988 339,177 315,558
6,416,012 6,346,467 6,062,434 Grants and Subsidies 7 579,513 564,931 565,563
6,698 6,698 6,519 Borrowing Costs 8 9,352 8,954 9,824
6,769,253 6,701,951 6,355,014 Total Expenses 8,014,804 7,778,460 7,506,070
Retained Revenue
105,960 93,979 91,776 Sale of Goods and Services 9 837,704 788,571 756,295
3,827 3,809 3,720 Investment Income 10 30,184 29,749 44,375
4,423 3,385 3,306 Grants and Contributions 11 158,069 130,499 150,043
5,591 6,633 6,478 Other Revenue 12 42,811 45,766 61,408
119,801 107,806 105,280 Total Retained Revenue 1,068,768 994,585 1,012,121
Gain /(Loss) on Disposal of

(41) ----- (987) Non-Current Assets 13 7,295 ----- (6,686)
6,649,493 6,594,145 6,250,721 Net Cost of Services 33 6,938,741 6,783,875 6,500,635
Government Contributions
6,234,675 6,186,592 5,939,094 Recurrent Appropriation 15 6,234,675 6,186,592 5,939,094
434,162 412,700 378,367 Capital Appropriation 15 434,162 412,700 378,367
24,005 24,005 ----- Asset Sale Proceeds transferred to Parent ----- ----- -----
Acceptance by the Crown Entity of Employee
7,519 6,846 6,725 Entitlements and Other Liabilities 16 359,886 340,038 334,084
6,700,361 6,630,143 6,324,186 Total Government Contributions 7,028,723 6,939,330 6,651,545
RESULT FOR THE YEAR

50,868 35,998 73,465 FROM ORDINARY ACTIVITIES 28 89,982 155,455 150,910
NON-OWNER TRANSACTION
CHANGES IN EQUITY
----- ----- ----- Net increase in Asset Revaluation Reserve 242,665 ----- 219,748
Total Revenues, Expenses and

Valuation Adjustments recognised
----- ----- ----- Directly in Equity 242,665 ----- 219,748
TOTAL CHANGES IN EQUITY OTHER

THAN THOSE RESULTING FROM
TRANSACTIONS WITH OWNERS
50,868 35,998 73,465 AS OWNERS 28 332,647 155,455 370,658
The accompanying notes form part of these Financial Statements
42
Statement of Financial Position
as at 30 June 2002
Actual
PARENT
Budget Actual Notes
CONSOLIDATED
Actual Budget
f
Actual
2002 2002 2001 2002 2002 2001
$000 $000 $000 $000 $000 $000
ASSETS
Current Assets
15,780 17,940 20,909 Cash 18 264,170 225,646 225,646
58,344 41,900 40,918 Receivables 19 205,646 189,013 185,909
----- ----- ----- Inventories 20 63,632 63,971 62,287
13,878 13,878 14,735 Other Financial Assets 21 180,854 182,527 180,752
88,002 73,718 76,562 Total Current Assets 714,302 661,157 654,594
Non-Current Assets
Property, Plant and Equipment
107,418 107,418 110,680 – Land and Buildings 22 5,991,472 5,853,788 5,698,893
30,720 24,327 7,847 – Plant and Equipment 22 549,334 518,959 546,817
----- ----- ----- – Infrastructure Systems 22 71,188 ----- -----
138,138 131,745 118,527 Total Property, Plant and Equipment 6,611,994 6,372,747 6,245,710
----- ----- ----- Receivables 19 10,134 4,261 4,361
40,363 40,363 43,415 Other Financial Assets 21 58,724 51,554 51,554
----- ----- ----- Other 7,757 6,295 6,295
178,501 172,108 161,942 Total Non-Current Assets 6,688,609 6,434,857 6,307,920
266,503 245,826 238,504 Total Assets 7,402,911 7,096,014 6,962,514
LIABILITIES
Current Liabilities
49,935 55,000 83,344 Payables 24 339,002 286,389 348,589
2,002 2,002 1,307 Interest Bearing Liabilities 25 20,716 16,539 16,539
6,750 6,585 5,823 Employee Entitlements and Other Provisions 26 568,314 587,916 569,987
10,460 ----- ----- Other 27 39,093 11,578 11,578
69,147 63,587 90,474 Total Current Liabilities 967,125 902,422 946,693
Non-Current Liabilities
51,388 51,388 53,391 Interest Bearing Liabilities 25 84,411 86,047 88,702
2,599 2,352 2,138 Employee Entitlements and Other Provisions 26 743,808 679,054 653,326
----- ----- ----- Other 27 36,051 34,167 34,924
53,987 53,740 55,529 Total Non-Current Liabilities 864,270 799,268 776,952
123,134 117,327 146,003 Total Liabilities 1,831,395 1,701,690 1,723,645
143,369 128,499 92,501 Net Assets 5,571,516 5,394,324 5,238,869
EQUITY 28
30,140 30,140 30,140 Reserves 1,058,095 808,410 808,410
113,229 98,359 62,361 Accumulated Funds 4,513,421 4,585,914 4,430,459
143,369 128,499 92,501 Total Equity 5,571,516 5,394,324 5,238,869
43
f Actual
Statement of Cash Flows
PARENT
Budget Actual Notes
CONSOLIDATED
Actual Budget Actual
2002 2002 2001 2002 2002 2001
$000 $000 $000 $000 $000 $000
CASH FLOWS FROM

OPERATING ACTIVITIES
Payments
(305,615) (304,212) (273,185) Employee Related (4,617,091) (4,620,916) (4,360,763)
(6,437,972) (6,346,467) (6,062,434) Grants and Subsidies (605,412) (564,931) (575,609)
(6,698) (6,698) (6,519) Borrowing Costs (9,352) (8,954) (9,824)
(337,717) (292,994) (274,650) Other (2,499,491) (2,408,581) (2,294,957)
(7,088,002) (6,950,371) (6,616,788) Total Payments (7,731,346) (7,603,382) (7,241,153)
Receipts
83,092 93,055 96,653 Sale of Goods and Services 835,934 779,282 765,953
3,843 6,571 2,727 Interest Received 30,207 29,740 32,315
116,678 7,194 40,403 Other 463,728 431,417 408,437
203,613 106,820 139,783 Total Receipts 1,329,869 1,240,439 1,206,705
CASH FLOWS FROM GOVERNMENT

6,234,675 6,186,592 5,939,094 Recurrent Appropriation 6,234,675 6,186,592 5,939,094
434,162 412,700 378,367 Capital Appropriation 434,162 412,700 378,367
234,949 233,699 219,812 Cash Reimbursements from the Crown Entity 234,949 233,699 219,812
----- 24,005 (23,550) Cash Transfers to the Consolidated Fund ----- ----- (23,550)
6,903,786 6,856,996 6,513,723 NET CASH FLOWS FROM GOVERNMENT 6,903,786 6,832,991 6,513,723
NET CASH FLOWS FROM

19,397 13,445 36,718 OPERATING ACTIVITIES 33 502,309 470,048 479,275
CASH FLOWS FROM

INVESTING ACTIVITIES
Proceeds from Sale of Land and Buildings,
Plant and Equipment, and Infrastructure
11 ----- 4,370 Systems 35,669 62,986 41,362
7,266 3,909 40,029 Proceeds from Sale of Investments 108,034 ----- 157,821
Purchases of Land and Buildings, Plant and
(27,138) (19,015) (4,424) Equipment and Infrastructure Systems (492,088) (528,604) (422,794)
(3,357) ----- (32,919) Purchases of Investments (115,286) (1,775) (269,823)
----- ----- 1,668 Other ----- ----- -----
NET CASH FLOWS FROM

(23,218) (15,106) 8,724 INVESTING ACTIVITIES (463,671) (467,393) (493,434)
CASH FLOWS FROM

FINANCING ACTIVITIES
----- ----- 1,678 Proceeds from Borrowings and Advances 248 ----- 1,678
(1,308) (1,308) (32,363) Repayment of Borrowings and Advances (3,792) (2,655) (49,818)
NET CASH FLOWS FROM

(1,308) (1,308) (30,685) FINANCING ACTIVITIES (3,544) (2,655) (48,140)
(5,129) (2,969) 14,757 NET INCREASE/(DECREASE) IN CASH 35,094 ----- (62,299)

20,909 20,909 6,141 Opening Cash and Cash Equivalents 215,092 215,092 277,391
----- ----- 11 Transfers from Administrative Restructuring ----- ----- -----
15,780 17,940 20,909 CLOSING CASH AND CASH EQUIVALENTS 18 250,186 215,092 215,092
44
Program Statement Expenses and Revenues for the year ended 30 June 2002
NSW Health
EXPENSES AND Program Program Program Program Program Program Program Program Program Program Not Total
REVENUES 1.1* 1.2* 1.3* 2.1* 2.2* 2.3* 3.1* 4.1* 5.1* 6.1* Attributable
2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001
$000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000
Annual Report
Expenses
Operating Expenses
Employee Related 426,853 426,443 14,732 13,487 452,602 409,848 522,653 491,831 1,911,704 1,781,533 298,941 287,752 409,490 380,891 490,818 479,620 96,644 94,600 197,719 176,511 ----- ----- 4,822,156 4,542,516
Other Operating Expenses 136,903 127,746 7,150 5,125 194,635 191,511 184,319 150,723 957,929 893,208 119,911 108,630 120,680 107,977 172,403 149,729 89,900 70,009 61,303 70,136 ----- ----- 2,045,133 1,874,794
Maintenance 15,494 14,765 559 276 24,212 22,149 23,818 19,094 84,721 76,518 14,173 15,892 14,678 12,065 22,151 17,685 9,582 9,279 11,274 10,092 ----- ----- 220,662 197,815
Depreciation and Amortisation 21,880 19,335 289 451 40,557 38,670 32,164 29,856 151,384 138,913 25,302 21,973 21,185 18,573 28,051 28,299 4,887 6,406 12,289 13,082 ----- ----- 337,988 315,558
Grants and Subsidies 85,117 65,843 6,017 7,424 57,303 53,773 20,620 6,412 210,172 224,307 10,606 5,464 23,115 30,025 119,340 135,377 3,864 698 43,359 36,240 ----- ----- 579,513 565,563
Borrowing Costs ----- 1,340 ----- 2 ----- 553 ----- 1,604 9,352 4,882 ----- 697 ----- 161 ----- 336 ----- 40 ----- 209 ----- ----- 9,352 9,824
Total Expenses 686,247 655,472 28,747 26,765 769,309 716,504 783,574 699,520 3,325,262 3,119,361 468,933 440,408 589,148 549,692 832,763 811,046 204,877 181,032 325,944 306,270 ----- ----- 8,014,804 7,506,070
Revenue
Sale of Goods and Services 22,149 18,156 542 1,720 50,741 42,584 65,183 58,167 440,314 426,641 65,042 32,651 38,783 36,643 136,310 128,142 4,841 11,832 13,799 11,250 ----- ----- 837,704 767,786
Investment Income 1,619 1,818 73 35 2,168 2,958 1,104 1,376 11,024 11,793 1,341 1,546 1,139 933 6,931 2,077 1,191 1,030 3,594 9,318 ----- ----- 30,184 32,884
Grants and Contributions 11,597 13,508 2,356 1,351 11,729 10,844 2,079 4,444 63,453 52,019 7,125 7,689 3,365 3,905 12,182 19,133 221 (10,157) 43,962 47,307 ----- ----- 158,069 150,043
Other Revenue 3,315 3,452 81 48 4,214 3,842 2,612 2,292 15,844 26,614 2,009 1,536 1,918 1,667 6,338 8,924 738 927 5,742 12,106 ----- ----- 42,811 61,408
Total Revenue 38,680 36,934 3,052 3,154 68,852 60,228 70,978 66,279 530,635 517,067 75,517 43,422 45,205 43,148 161,761 158,276 6,991 3,632 67,097 79,981 ----- ----- 1,068,768 1,012,121
Gain/ (Loss) on Disposal

of Non Current Assets 41 (214) (12) (13) 532 (681) 10,547 (228) (3,827) (2,747) (39) (270) 114 (381) 109 (407) (165) (138) (5) (1,607) ----- ----- 7,295 (6,686)
NET COST OF SERVICES 647,526 618,752 25,707 23,624 699,925 656,957 702,049 633,469 2,798,454 2,605,041 393,455 397,256 543,829 506,925 670,893 653,177 198,051 177,538 258,852 227,896 ----- ----- 6,938,741 6,500,635
Government Contributions ** ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- 7,028,723 6,651,545 7,028,723 6,651,545
RESULT FOR THE YEAR

FROM ORDINARY ACTIVITIES 89,982 150,910
Administered Revenues (not

attributed to Programs)
Consolidated Fund
– Taxes, Fees and Fines 1,714 1,606
Total Administered Revenues 1,714 1,606
* The name and purpose of each program is summarised in Note 17.

** Appropriations are made on an agency basis and not to individual programs. Consequently government contributions must be included in the ‘Not Attributable’ column.
45
46
Summary of Compliance with Financial Directives
2002 2001
Recurrent Expenditure/ Capital Expenditure/ Recurrent Expenditure/ Capital Expenditure/
Appropriation Net Claim on Appropriation Net Claim on Appropriation Net Claim on Appropriation Net Claim on
$000 Consolidated $000 Consolidated $000 Consolidated $000 Consolidated
Fund Fund Fund Fund
$000 $000 $000 $000
Original Budget
Appropriation / Expenditure
– Appropriation Act 6,174,690 6,174,690 412,700 412,700 5,890,859 5,888,123 351,717 351,717
– s26 PF and AA – Commonwealth
specific purpose payments 11,902 11,902 ----- ----- 46,412 46,412 ----- -----
6,186,592 6,186,592 412,700 412,700 5,937,271 5,934,535 351,717 351,717
Other Appropriations /
Expenditure
– Treasurer’s Advance 37,747 37,747 27,462 21,462 6,362 6,362 26,650 26,650
– Section 22 - expenditure for
certain works and services 6,818 5,659 ----- ----- ----- ----- ----- -----
– Transfers from another agency
(s26 of the Appropriation Act) 4,677 4,677 ----- ----- (1,803) (1,803) ----- -----
49,242 48,083 27,462 21,462 4,559 4,559 26,650 26,650
Appropriations
/Expenditure / Net Claim on
Consolidated Fund
(includes transfer payments) 6,235,834 6,234,675 440,162 434,162 5,941,830 5,939,094 378,367 378,367
Amount drawn down against

Appropriation 6,234,675 434,162 5,939,094 378,367
Annual Report
Liability to Consolidated Fund * ----- ----- ----- -----
The Summary of Compliance is based on the assumption that Consolidated Fund moneys are spent first (except where otherwise identified or prescribed).
* The ‘Liability to Consolidated Fund’ represents the difference between the ‘Amount Drawn’ down against ‘Appropriation’ and the ‘Total Expenditure / Net Claim on Consolidated Fund’.
NSW Health
Notes to and forming part of the Financial Statements
1. The NSW Health Department

Reporting Entity
2. Summary of Significant
Accounting Policies
f
a The NSW Health Department economic The NSW Health Department’s financial
entity comprises all the operating activities statements are a general purpose financial report
of the NSW Ambulance Service; Area which has been prepared on an accruals basis
Health Services constituted under the and in accordance with applicable Australian
Health Services Act, 1997; the Royal Accounting Standards, other authoritative
Alexandra Hospital for Children and the pronouncements of the Australian Accounting
Corrections Health Service and all Central Standards Board (AASB), Urgent Issues Group
Administration units of the Department. (UIG) Consensus Views, the requirements
The reporting economic entity is based on of the Public Finance and Audit Act 1983 and
the control exercised by the Department, Regulations, and the Financial Reporting Directions
and, accordingly, encompasses Special published in the Financial Reporting Code
Purposes and Trust Funds which, while for Budget Dependent General Government
containing assets which are restricted for Sector Agencies or issued by the Treasurer
specified uses by the grantor or donor, under section 9(2)(n) of the Act.
are nevertheless controlled by the entities Where there are inconsistencies between the
referenced above. above requirements, the legislative provisions
b In addition to the consolidated results, have prevailed.
the Department’s financial statements also
include results for the parent entity, denoted In the absence of a specific Accounting Standard,
in note 1(a) as Central Administration other authoritative pronouncement of the
and the Health Administration Corporation AASB or UIG Consensus View, the hierarchy
(HAC), which was established through of other pronouncements as outlined in AAS6
the Health Administration Act in 1982 and ‘Accounting Policies’ is considered.
effectively empowers the Director-General Except for certain investments and land
as a corporation sole (HAC) to enter into and buildings, plant and equipment and
various legal contracts such as the purchase, infrastructure systems, which are recorded at
lease or sale of property. valuation, the financial statements are prepared
The Health Administration Act requires that in accordance with the historical cost
the monies of health professional boards be convention. All amounts are rounded to the
managed by HAC. Such monies are credited nearest one thousand dollars and are expressed
to the Department of Health’s parent entity in Australian currency.The accounting policies
financial statements (Note 18 refers), such adopted are consistent with those of the
treatment providing effective stewardship previous year.
over monies received.
Other significant accounting policies used
c The consolidated accounts are those of the in the preparation of these financial statements
consolidated entity comprising the NSW are as follows:
Department of Health (the parent entity)
and its controlled entities. In the process a Employee Entitlements
NOTES
of preparing the consolidated financial Salaries and Wages, Annual Leave, Long Service
statements for the economic entity, consisting Leave, Sick Leave and On-Costs
of the controlling and controlled entities,
Liabilities for salaries and wages, annual
all inter entity transactions and balances
leave, vesting sick leave and related on-costs
have been eliminated.
are recognised and measured as the amount
d The reporting entity is consolidated as part unpaid at the reporting date at current pay
of the NSW Total State Sector and as part rates in respect of employees’ services up
of the NSW Public Accounts. to that date.
47
f Notes to and forming part of the Financial Statements
Long service leave measurement is based

on the remuneration rates at year end for all
salary. For other superannuation schemes
(ie State Superannuation Scheme and State
employees with five or more years of service. Authorities Superannuation Scheme), the
It is considered that this measurement expense is calculated as a multiple of the
technique produces results not materially employees’ superannuation contributions.
different from the estimate determined by
using the present value basis of measurement. c Insurance
The value of Long Service Leave Liability The Department’s insurance activities are
attached to Central Administration areas conducted through the NSW Treasury
is assumed by the Crown Entity and the Managed Fund Scheme of self insurance
Department accounts for this liability as for Government agencies.The expense
having been extinguished resulting in (premium) is determined by the Fund
non-monetary revenue described as Manager based on past experience.
‘Acceptance by the Crown Entity of
employee entitlements and other liabilities’. With effect from 1 January 2002 the coverage
against medical malpractice claims was varied
Employee leave entitlements are dissected
so that the Visiting Medical Officers could elect
between the ‘Current’ and ‘Non Current’
to be covered by the Treasury Managed Fund
components on the basis of anticipated
for public patients treated in public hospitals
payments for the next twelve months.
only.The Government, through the Treasury
This in turn is based on past trends and
Managed Fund, also provided cover for the
known resignations and retirements.
unreported claims as at 31 December 2001.
Unused non-vesting sick leave does not give
rise to a liability as it is not considered With effect from 1 January 2002 the
probable that sick leave taken in the future Department has allowed universities to be
will be greater than the entitlements accrued covered for twelve months for their clinical
in the future. academics in respect of the treatment of
public patients in public hospitals on an
The outstanding amounts of payroll tax,
excess basis. Academics are responsible for
workers’ compensation insurance
incidents involving private patients.
premiums and fringe benefits tax, which
are consequential to employment, are d Revenue Recognition
recognised as liabilities and expenses where
Revenue arising from the sale of goods, the
the employee entitlements to which they
provision of services and the use of NSW
relate have been recognised.
Health assets is recognised when:
b Superannuation Benefits i the Department or its controlled entities
The Department’s liability for superannuation have passed control of the goods or other
is assumed by the Crown Entity. assets to the buyer
The Department accounts for the liability ii the Department or its controlled entities
as having been extinguished resulting control a right to be compensated for
in the amount assumed being shown as part services rendered
of the non-monetary revenue item described
iii the Department or its controlled entities
NOTES
as ‘Acceptance by the Crown Entity of

employee entitlements and other liabilities’. control a right relating to the
consideration payable for the provision
The superannuation expense for the financial of investment assets
year is determined by using the formulae iv it is probable that the economic benefits
specified in the Treasurer’s Directions.The comprising the consideration will flow
expense for certain superannuation schemes to the entity
(ie Basic Benefit and First State Super) is
calculated as a percentage of the employees’ v the amount of the revenue can be
measured reliably.
48
Parliamentary Appropriations and Contributions

from Other Bodies
f Research and Development Costs
Research and development costs are charged
f
Parliamentary appropriations and to expense in the year in which they are
contributions from Other Bodies (including incurred.
grants and donations) are generally recognised
as revenues when the agency obtains control g Acquisition of Assets
over the assets comprising the appropriations/ The cost method of accounting is used
contributions. Control over appropriations for the initial recording of all acquisitions
and contributions is normally obtained upon of assets controlled by the Department.
the receipt of cash. Cost is determined as the fair value of the
assets given as consideration plus the costs
An exception to the above is when incidental to the acquisition.
appropriations are unspent at year end.
In this case, the authority to spend the money Assets acquired at no cost, or for nominal
lapses and generally the unspent amount must consideration, are initially recognised as assets
be repaid to the Consolidated Fund in the and revenues at their fair value at the date
following financial year. As a result, unspent of acquisition.
appropriations are accounted for as liabilities
rather than revenue. Fair value means the amount for which
an asset could be exchanged between a
Patient Fees knowledgeable, willing buyer and a
Patient fees are derived from chargeable knowledgeable, willing seller in an arm’s
inpatients and non-inpatients on the basis length transaction.
of rates charged in accordance with approvals
Where settlement of any part of cash
communicated in the Government Gazette.
consideration is deferred, the amounts payable
Use of Hospital Facilities in the future are discounted to their present
value at the acquisition date.The discount
Specialist doctors with rights of private
rate used is the incremental borrowing rate,
practice are charged a facility fee for the use
being the rate at which a similar borrowing
of hospital facilities at rates determined by the
could be obtained.
NSW Health Department. Facility fees are
based on fees collected.
h Plant and Equipment
e Goods and Services Tax (GST)

Individual items of plant and equipment
costing $5,000 and above are capitalised.
Revenues, expenses and assets are recognised
net of the amount of GST, except:
i Depreciation
● The amount of GST incurred by the Depreciation is provided for on a straight line
Department/its controlled entities as a basis for all depreciable assets so as to write
purchaser that is not recoverable from the off the depreciable amount of each asset as
Australian Taxation Office is recognised as it is consumed over its useful life to the
part of the cost of acquisition of an asset NSW Health Department. Land is not a
or as part of an item of expense. depreciable asset.
NOTES
● Receivables and payables are stated with

the amount of GST included.
49
Details of depreciation rates for major asset

categories are as follows:
The recoverable amount test has not been
applied as the NSW Health Department
is a not-for-profit entity whose service
Buildings 2.5%
Electro Medical Equipment
potential is not related to the ability to
– Costing less than $200,000 10.0% generate net cash inflows.
– Costing more than or equal
to $200,000 12.5% Revaluation increments are credited directly
Computer Equipment 20.0% to the asset revaluation reserve, except that,
Computer Software 20.0% to 33.3% to the extent that an increment reverses a
Infrastructure Systems 2.5% revaluation decrement in respect of that class
Office Equipment 10.0%
of asset previously recognised as an expense
Plant and Machinery 10.0%
Linen 20.0%
in the ‘result for the year from ordinary
Furniture, Fittings and activities’, the increment is recognised
Furnishings 5.0% immediately as revenue in the ‘result for
the year from ordinary activities’.
j Revaluation of Non Current Assets Revaluation decrements are recognised

Buildings, plant and equipment and immediately as expenses in the ‘result for
infrastructure assets (excluding land) are the year from ordinary activities’ except that,
valued based on the estimated written down to the extent that a credit balance exists
replacement cost of the most appropriate in the asset revaluation reserve in respect
modern equivalent replacement facility of the same class of assets, they are debited
having a similar service potential to the directly to the asset revaluation reserve.
existing asset. Land is valued on an existing
Revaluation increments and decrements
use basis, subject to any restrictions or
are offset against one another within a class
enhancements since acquisition.
of non-current assets, but not otherwise.
Land and buildings are revalued every five
years by independent valuation. k Maintenance and Repairs
The costs of maintenance are charged as
In accordance with Treasury policy, the expenses as incurred, except where they relate
NSW Health Department has applied to the replacement of a component of an
the AASB1041 ‘Revaluation of Non Current asset in which case the costs are capitalised
Assets’ transitional provisions for the public and depreciated.
sector and has elected to continue to apply
the existing revaluation basis, while Treasury’s l Leased Assets
policy on fair value is finalised. It is expected
A distinction is made between finance leases
however, that in most instances the current
which effectively transfer from the lessor to the
valuation methodology will approximate
lessee substantially all the risks and benefits
fair value.
incidental to ownership of the leased assets,
Where assets are revalued upward or downward and operating leases under which the lessor
as a result of a revaluation of a class of non- effectively retains all such risks and benefits.
current physical assets, the NSW Health
NOTES
Where a non-current asset is acquired by

Department restates separately the gross
means of a finance lease, the asset is recognised
amount and the related accumulated
at its fair value at the inception of the lease.
depreciation of that class of assets.
The corresponding liability is established at the
same amount. Lease payments are allocated
between the principal component and the
interest expense.
50
Operating lease payments are charged to the

Statement of Financial Performance in the
discretion, for example, to deploy the
resources for the achievement of the
f
periods in which they are incurred. Department’s own objectives.
m Other Financial Assets Transactions and balances relating to the

administered activities which are confined
Marketable securities and deposits are valued
to revenues only are not recognised as
at cost. Non marketable securities are brought
Departmental revenue but are disclosed
to account at cost.
as ‘Administered Revenues’ in the
For non-current other financial assets, Program Statement.
revaluation increments are credited directly
to the asset revaluation reserve. Revaluation q Administrative Restructuring
decrements are recognised in the Statement Transfer of the net assets of the Centre for
of Financial Performance except to the extent Education and Information on Drugs and
that the decrement reverses an increment Alcohol (CEIDA) was effected for Central
previously credited to the asset revaluation Sydney Area Health Service on 1 July 2000.
reserve, in which case it should be debited The transfer of $1.210M was treated as a
to the asset revaluation reserve. direct adjustment to the opening balance
of Accumulated funds in the Parent Entity’s
For current other financial assets, revaluation accounts at that time.
increments and decrements are recognised
in the Statement of Financial Performance. r Financial Instruments
Interest revenues are recognised as they accrue. Financial instruments give rise to positions
that are a financial asset of either the NSW
n Inventories Health Department or its counterparty
Inventories are stated at the lower of cost and a financial liability (or equity instrument)
and net realisable value. Costs are assigned of the other party. For the NSW Health
to individual items of stock mainly on the Department these include cash at bank,
basis of weighted average costs. receivables, other financial assets, accounts
payable and interest bearing liabilities.
Obsolete items are disposed of upon
identification in accordance with In accordance with Australian Accounting
delegated authority. Standard AAS33, ‘Presentation and Disclosure
of Financial Instruments’, information
o Trust Funds is disclosed in Note 38 in respect of the
The Department’s controlled entities receive credit risk and interest rate risk of financial
monies in a trustee capacity for various trusts instruments. All such amounts are carried
as set out in Note 30. As the controlled in the accounts at net fair value.The specific
entities perform only a custodial role in accounting policy in respect of each class of
respect of these monies and because the such financial instrument is stated hereunder.
monies cannot be used for the achievement Classes of instruments recorded at cost and
of NSW Health’s objectives, they are not their terms and conditions at balance date
NOTES
brought to account in the financial statements. are as follows:
p Administered Activities Cash

The Department administers, but does Accounting Policies – Cash is carried at
not control, certain activities on behalf nominal values reconcilable to monies on
of the Crown Entity. It is accountable hand and independent bank statements.
for the transactions relating to those
administered activities but does not have the
51
Terms and Conditions – Monies on deposit

attract an effective interest rate of between
Interest Bearing Liabilities
Accounting Policies – Bank Overdrafts and
2.7% and 6.5% as compared to 3.7% and Loans are carried at the principal amount.
6.5% in the previous year. Interest is charged as an expense as it accrues.
Finance Lease Liability is accounted for in
Receivables
accordance with Australian Accounting
Accounting Policies – Receivables are carried Standard, AAS17.
at nominal amounts due less any provision
for doubtful debts. A provision for doubtful Terms and Conditions – Bank Overdraft
debts is recognised when collection of the full interest is charged at the bank’s benchmark rate.
nominal amount is no longer probable.
Classes of instruments recorded at market
Terms and Conditions – Accounts are value comprise:
generally issued on 30 day terms. Treasury Corporation Hour Glass Investments
Investments (Other Financial Assets) Accounting Policies – Treasury Corporation
Accounting Policies – Investments reported Hour Glass investments are stated at the
at cost include both short term and fixed term lower of cost and net realisable value. Interest
deposits, exclusive of Hour Glass funds is recognised when earned.
invested with Treasury Corporation. Interest is Terms and Conditions – Deposits have a
recognised in the Statement of Financial maturity of up to 3 years with effective
Performance when earned. Shares are carried interest rates of 0.9% to 4.8%.This compares
at cost with dividend income recognised when with interest rates of 5.0% to 11.7% in the
the dividends are declared by the investee. previous year.
Terms and Conditions – Short term deposits There are no classes of instruments which
have an average maturity of 90 to 185 days are recorded at other than cost or market
and effective interest rate of 4.0% to 6.0% valuation.
as compared to 3.5% to 6.8% in the previous
year. Fixed term deposits have a maturity All financial instruments including revenue,
of up to 5 years and effective interest rates of expenses and other cash flows arising
3.3% to 7.0% as compared to 4.0% to 7.9% from instruments are recognised on an
in the previous year. accruals basis.
Payables s Interest Bearing Liabilities

Accounting Policies – Payables are recognised All loans are valued at current capital value.
for amounts to be paid in the future for goods The finance lease liability is determined in
and services received, whether or not billed accordance with AAS17 ‘Leases’. Borrowing
to the Health Service. costs are recognised as expenses in the
period in which they are incurred (except
Terms and Conditions – Trade liabilities are where they are included in the costs of
settled within any terms specified. If no terms qualifying assets).
are specified, payment is made by the end
t Budgeted Amounts
NOTES
of the month following the month in which

the invoice is received. The budgeted amounts are drawn from the
budgets as formulated at the beginning of the
financial year and with any adjustments for
the effects of additional appropriations, s 21A,
s 24 and/or s 26 of the Public Finance and
Audit Act 1983.
52
The budgeted amounts in the Statement

of Financial Performance and the Statement
Changes affecting Note disclosure only are
as follows:
f
of Cash Flows are generally based on the – Superannuation payments for staff
amounts disclosed in the NSW Budget Papers transferred from the Department of
(as adjusted above). However, in the Statement Veterans’ Affairs were formerly recognised
of Financial Position, the amounts vary from as Salaries and Wages by both the parent
the Budget Papers, as the opening balances and consolidated entities but are now
of the budgeted amounts are based on carried reported as Superannuation expense
forward actual amounts, ie per the audited (Note 3 refers).
financial statements (rather than carried
forward estimates). – Operating Leases of $5.057M for the
parent entity, formerly reported as
u Exemption from Public Finance and Audit ‘Rates and Charges’ are now reported
Act 1983 as Operating Leases by both the parent
The Treasurer has granted the Department and consolidated entities (Note 4 refers).
an exemption under 45e of the Public Finance
– Within the consolidated entity $9.529M
and Audit Act 1983, from the requirement
has also been transferred from General
to use the line item title ‘Surplus/(Deficit)
Expenses to Operating Lease Rental
for the Year from Ordinary Activities’, in
Expenses ($5.175M), Staff Related Costs
the Statement of Financial Performance.
($3.272M) and Travel Related Costs
The Treasurer approved the title ‘Result for
($1.082M) respectively (Note 4 refers).
the Year from Ordinary Activities’ instead.
v Reclassifications
The Department has effected a series of
reclassifications in 2001/02 which affect the
2000/01 comparatives. Changes affecting
Statement of Financial Performance and
note disclosure are as follows:
‘Lease and Rental Income’ was recognised in

prior year statements for both the parent and
consolidated entities as Sale of Goods and
Services whereas, from 2001/02, this item
has been amended to comply with Whole of
Government reporting and revenue brought
to account under Investment Income.
Payments of $4.033M for Agency Staff for

both the parent and consolidated entities
were formerly recognised as Other Operating
Expenses whereas such amount is now
recognised as a component of Employee
NOTES
Related Expense, consistent with the

treatment observed overall for NSW Health.
53
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
3. EMPLOYEE RELATED EXPENSES

Employee related expenses comprise the
following specific items:
52,670 47,389 Salaries and Wages 3,758,402 3,572,609
11,142 2,852 Superannuation 363,507 330,211
2,256 1,971 Long Service Leave 116,344 106,582
4,584 3,862 Recreation Leave 366,425 344,932
----- ----- Nursing Agency Payments 45,529 36,180
3,479 4,033 Other Agency Payments 13,608 11,998
1,146 726 Workers Compensation Insurance 153,858 136,227
4,296 3,459 Payroll Tax and Fringe Benefits Tax 4,483 3,777
79,573 64,292 4,822,156 4,542,516
Salaries and Wages includes the following amounts

paid to members of Health Service Boards consistent
with the Statutory Determination by the Minister for
Health which provided remuneration effective from
1 July 2000.
The payments have been made within the

following bands:
2002 2002 2001 2001

$ range No.Paid $000 No.Paid $000
$0 to $14,999 162 1,999 181 1,823

$15,000 to $29,999 20 512 18 377
Additional payments
made on a Statewide
basis, for example
for travel 67 120
54
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
4. OTHER OPERATING EXPENSES

1 132 Visiting Medical Officers 320,271 292,358
640 2,080 Drug Supplies 276,718 255,946
37,713 32,270 Medical and Surgical Supplies 346,715 313,342
----- ----- Special Service Departments 150,595 133,691
23 85 Domestic Charges 83,467 79,963
----- ----- Food Supplies 69,063 64,077
214 298 Fuel, Light and Power 56,304 54,368
22,055 26,477 Computer Related Expenses 60,472 49,653
3,152 3,013 Travel Related Costs 80,543 76,557
2,130 2,113 Postal and Telephone Costs 49,051 46,498
12,682 10,634 Staff Related Costs 38,661 34,458
130,552 87,472 Insurance 138,316 93,868
5,750 2,581 Interstate Patient Outflows, NSW 88,426 91,994
5,286 5,057 Operating Lease Rental Expenses 36,408 32,525
----- ----- Rates and Charges 23,680 21,036
2,432 2,371 Printing and Stationery 40,007 34,970
----- ----- Sundry Operating Expenses (a) 99,782 99,852
35,834 40,865 General Expenses (b) 86,654 99,638
258,464 215,448 2,045,133 1,874,794
(a) Sundry Operating Expenses comprise:

----- ----- Aircraft Expenses (Ambulance) 18,910 24,045
----- ----- Contract for Patient Services 74,321 68,535
Isolated Patient Travel and
----- ----- Accommodation Assistance Scheme 6,551 7,272
----- ----- 99,782 99,852
(b) General Expenses include:

2,045 1,809 Advertising 14,750 12,896
203 495 Books and Magazines 9,328 9,036
Consultancies
1,915 2,480 – Operating Activities 10,523 13,648
2,153 4,803 – Capital Works 6,661 8,402
514 709 Courier and Freight 8,303 7,115
Auditors Remuneration – Audit of
187 180 financial reports 1,993 1,893
Health Professional Registration
5,658 5,353 Board Expenses 5,658 5,353
1,231 312 Legal Expenses 5,231 4,520
----- ----- Membership/Professional Fees 3,652 3,196
----- ----- Payroll Services 332 436
2 6 Provision for Bad and Doubtful Debts 15,351 14,832
55
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
5. MAINTENANCE
1,031 928 Repairs and Routine Maintenance 128,478 125,603
Other:
----- ----- – Renovations and Additional Works 17,943 17,131
– Replacements and Additional Equipment
----- ----- less than $5,000 74,241 55,081
1,031 928 220,662 197,815
6. DEPRECIATION AND AMORTISATION EXPENSE

639 640 Depreciation – Buildings 192,215 180,402
4,213 2,130 Depreciation – Plant and Equipment 136,579 131,513
----- ----- Depreciation – Infrastructure Systems 5,536 -----
2,623 2,623 Amortisation 3,658 3,643
7,475 5,393 337,988 315,558
7. GRANTS AND SUBSIDIES

60,267 52,352 Payments to the Red Cross Blood Transfusion Service 60,267 52,352
Operating Payments to Other Affiliated
----- ----- Health Organisations 344,073 335,681
----- ----- Capital Payments to Affiliated Health Organisations 29,062 49,778
Grants:
18,207 17,773 – External Research 18,207 17,773
1,628 1,583 – NSW Institute of Psychiatry 1,628 1,583
3,776 3,498 – National Drug Strategy 3,776 3,498
33,905 31,993 – Non Government Voluntary Organisations 84,508 80,015
6,277,133 5,944,685 Payments to Controlled Health Entities ----- -----
21,096 10,550 Other Payments 37,992 24,883
6,416,012 6,062,434 579,513 565,563
8. BORROWING COSTS
6,698 6,519 Finance Lease Interest Charges 9,352 9,824
----- ----- Other Interest Charges ----- -----
6,698 6,519 9,352 9,824
56
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
9. SALE OF GOODS AND SERVICES

Sale of Goods and Services comprise the following:
----- ----- Patient Fees 255,271 233,210
----- ----- Staff-Meals and Accommodation 12,365 12,443
----- ----- Use of Hospital Facilities 111,688 93,859
43,046 43,805 Department of Veterans’ Affairs Agreement Funding 245,886 230,744
----- ----- Ambulance Non Hospital User Charges 23,856 24,303
29,255 26,427 Motor Accident Authority Third Party Receipts 29,255 26,427
----- ----- Car Parking 13,354 11,423
----- ----- Child Care Fees 4,834 4,177
----- ----- Commercial Activities 26,273 22,615
----- ----- Fees for Medical Records 2,376 2,450
----- ----- Non Staff Meals 13,445 13,972
----- ----- Linen Service Revenues - Non Health Services 8,417 8,056
----- ----- Sale of Prosthesis 18,927 17,795
----- ----- Services Provided to Non NSW Health Organisations 9,961 8,199
1,738 877 Patient Inflows from Interstate 1,738 877
3,415 215 Revenue from Health Service Asset Sales ----- -----
11,786 7,064 Computer Support Charges - Health Services ----- -----
16,720 13,388 Other 60,058 45,745
105,960 91,776 837,704 756,295
10. INVESTMENT INCOME

3,584 3,321 Interest 19,844 32,083
154 170 Lease and Rental Income 9,842 11,491
89 229 Other 498 801
3,827 3,720 30,184 44,375
11. GRANTS AND CONTRIBUTIONS

----- ----- University Commission grants 439 1,037
4,423 3,306 Grants 68,457 71,352
Other:
----- ----- – Clinical Drug Trials 8,695 7,027
----- ----- – Wholesale and Retail Trade 92 56
----- ----- – Manufacturing 358 523
----- ----- – Construction 3,749 -----
----- ----- – Finance, Property and Business Services 249 271
----- ----- – Public Administration 188 173
----- ----- – Community Services 4,619 8,357
----- ----- – Recreation, Personal and Other Services 71,223 61,247
4,423 3,306 158,069 150,043
57
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
12. OTHER REVENUE

Other Revenue comprises the following:
----- ----- Commissions 815 706
----- ----- Conference and Seminar Fees 579 511
5,591 5,601 Health Professional Registration Fees 5,591 5,601
----- ----- Treasury Managed Fund Hindsight Adjustment 15,863 21,184
----- ----- Sale of Merchandise, Old Wares and Books 1,432 1,589
----- 877 Sundry Revenue 18,531 31,817
5,591 6,478 42,811 61,408
13. GAIN/(LOSS) ON DISPOSAL OF

NON CURRENT ASSETS
718 2,406 Property, Plant and Equipment 114,650 135,565
(666) (604) Less Accumulated Depreciation (86,276) (91,072)
52 1,802 Written Down Value 28,374 44,493

(11) (815) Less Proceeds from Sale (35,669) (37,807)
(41) (987) Gain/(Loss) on Disposal of Non Current Assets 7,295 (6,686)
14. CONDITIONS ON CONTRIBUTIONS Purchase of Health Promotion, Other Total

Assets Education and
Research
$000 $000 $000 $000
Contributions recognised as revenues during

current year for which expenditure in manner
specified had not occurred as at balance date 20,969 64,850 28,751 114,570
Contributions recognised in previous years

which were not expended in the current
financial year 41,063 113,315 7,900 162,278
Total amount of unexpended contributions

as at balance date 62,032 178,165 36,651 276,848
Comment on restricted assets appears in Note 23.
58
PARENT AND CONSOLIDATED

f
2002 2001
$000 $000
15. APPROPRIATIONS
Recurrent appropriations
Total recurrent drawdowns from Treasury 6,234,675 5,939,094
(per Summary of Compliance)
Total 6,234,675 5,939,094
Comprising
Recurrent appropriations 6,234,675 5,939,094
(per Statement of Financial Performance)
Total 6,234,675 5,939,094
Capital appropriations
Total capital drawdowns from Treasury 434,162 378,367
(per Summary of Compliance)
Total 434,162 378,367
Comprising
Capital appropriations 434,162 378,367
(per Statement of Financial Performance)
Total 434,162 378,367
PARENT CONSOLIDATED
2002 2001 2002 2001
$000 $000 $000 $000
16. ACCEPTANCE BY THE CROWN ENTITY

OF EMPLOYEE ENTITLEMENTS AND
OTHER LIABILITIES
The following liabilities and/or expenses have
been assumed by the Crown Entity or other
government agencies:
4,956 4,475 Superannuation 357,323 331,834
2,256 1,971 Long Service Leave 2,256 1,971
307 279 Payroll Tax 307 279
7,519 6,725 359,886 334,084
59
f Program 1.1
Objective:
17. PROGRAMS/ACTIVITIES OF THE AGENCY
Primary and Community Based Services

To improve, maintain or restore health through health promotion, early intervention, assessment, therapy
and treatment services for clients in a home or community setting.
Program 1.2 Aboriginal Health Services

Objective: To raise the health status of Aborigines and to promote a healthy life style.
Program 1.3 Outpatient Services

Objective: To improve, maintain or restore health through diagnosis, therapy, education and treatment services for
ambulant patients in a hospital setting.
Program 2.1 Emergency Services

Objective: To reduce the risk of premature death and disability for people suffering injury or acute illness by providing
timely emergency diagnostic, treatment and transport services.
Program 2.2 Overnight Acute Inpatient Services

Objective: To restore or improve health and manage risks of illness, injury and childbirth through diagnosis and treatment
for people intended to be admitted to hospital on an overnight basis.
Program 2.3 Same Day Acute Inpatient Services

Objective: To restore or improve health and manage risks of illness, injury and childbirth through diagnosis and treatment
for people intended to be admitted to hospital and discharged on the same day.
Program 3.1 Mental Health Services

Objective: To improve the health, well being and social functioning of people with disabling mental disorders and to
reduce the incidence of suicide, mental health problems and mental disorders in the community.
Program 4.1 Rehabilitation and Extended Care Services

Objective: To improve or maintain the well being and independent functioning of people with disabilities or chronic
conditions, the frail aged and the terminally ill.
Program 5.1 Population Health Services

Objective: To promote health and reduce the incidence of preventable disease and disability by improving access
to opportunities and prerequisites for good health.
Program 6.1 Teaching and Research

Objective: To develop the skills and knowledge of the health workforce to support patient care and population health.
To extend knowledge through scientific enquiry and applied research aimed at improving the health and well
being of the people of New South Wales.
60
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
18. CURRENT ASSETS – CASH

15,780 20,909 Cash at bank and on hand** 152,918 122,904
----- ----- Deposits at call 111,252 102,742
15,780 20,909 264,170 225,646
Cash assets recognised in the Statement of Financial

Position are reconciled to cash at the end of the
financial year as shown in the Statement of Cash
Flows as follows:
15,780 20,909 Cash 264,170 225,646
----- ----- Bank Overdraft* (13,984) (10,554)
Closing Cash and Cash Equivalents

15,780 20,909 (per Statement of Cash Flows) 250,186 215,092
* Health Services are not allowed to operate bank

overdraft facilities. The amounts disclosed as ‘bank
overdrafts’ meet Australian Accounting Standards
reporting requirements, however the relevant Health
Services are in effect utilising and operating
commercially available banking facility arrangements
to their best advantage.The total of these facilities at
a Health Service level is a credit balance which is
inclusive of cash at bank and investments.
** Cash reported for the Parent entity includes

$6.2 million lodged for the credit of the Health
Administration Corporation by Health Professional
Boards in accordance with the provisions of their
respective Acts and the Health Administration
Act, 1982.
61
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
19. CURRENT/NON CURRENT RECEIVABLES

Current
36,889 14,349 (a) Sale of Goods and Services 138,081 129,663
10,973 10,408 Other Debtors 62,482 49,040
10,584 16,263 Prepayments 28,354 28,292
58,446 41,020 Sub Total 228,917 206,995
(102) (102) Less Provision for Doubtful Debts (23,271) (21,086)
58,344 40,918 205,646 185,909
(b) Bad debts written off during the year:

Current Receivables
----- ----- Sale of Goods and Services 7,370 7,116
2 4 Other 4,653 3,868
2 4 12,023 10,984
Non Current
----- ----- (a) Sale of Goods and Services 6,053 213
----- ----- Prepayments 4,226 4,148
----- ----- 10,279 4,361
----- ----- Less Provision for Doubtful Debts (145) -----
----- ----- 10,134 4,361
(b) Bad debts written off during the year

Non Current Receivables
----- ----- Sale of Goods and Services 712 -----
----- ----- Other 286 -----
----- ----- 998 -----
Receivables includes:
----- ----- Patient Fees – Compensable 18,031 22,484
----- ----- Patient Fees – Ineligibles 12,074 11,704
----- ----- Patient Fees - Other 29,771 26,269
Goods and Services Tax reimbursements
----- ----- from Australian Taxation Office 41,231 26,237
62
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
20. INVENTORIES
Current – Finished Goods at cost
----- ----- Drugs 23,988 22,418
----- ----- Medical and Surgical Supplies 30,216 29,311
----- ----- Food Supplies 2,784 3,459
----- ----- Engineering Supplies 1,949 1,942
----- ----- Other including Goods in Transit 4,695 5,157
----- ----- 63,632 62,287
21. CURRENT/NON CURRENT OTHER

FINANCIAL ASSETS
Current
7,400 7,400 Other Loans and Deposits 180,822 180,720
----- ----- Shares 32 32
Other
6,478 7,335 – Intra Health Loans ----- -----
13,878 14,735 180,854 180,752
Non Current
----- ----- Other Loans and Deposits 46,993 40,103
3,301 3,201 Shares 11,731 11,451
Other
37,062 40,214 – Intra Health Loans ----- -----
40,363 43,415 58,724 51,554
Shares reported by each of the Department’s

controlled entities are disclosed at market values.
The shares reported by the Parent entity are
reported at cost.
63
22. PROPERTY, PLANT AND EQUIPMENT
PARENT
Land Buildings Leased Plant and Total
Buildings Equipment
$000 $000 $000 $000 $000
Balance 1 July 2001

At Valuation date 30 April 1999 51,152 25,000 ----- ----- 76,152
At Cost 135 528 52,462 27,973 81,098
Capital Expenditure/Donations ----- ----- ----- 27,138 27,138
Disposals ----- ----- ----- (718) (718)
Balance at 30 June 2002
At Cost 135 528 52,462 54,393 107,518
TOTAL 51,287 25,528 52,462 54,393 183,670
Depreciation
Balance 1 July 2001
At Valuation date 30 April 1999 ----- 1,312 ----- ----- 1,312
At Cost ----- 17 17,268 20,126 37,411
Charge for the year [see note 2(i)] ----- 639 2,623 4,213 7,475
Adjustment for disposals ----- ----- ----- (666) (666)
At Valuation date 30 April 1999 ----- 1,929 ----- ----- 1,929
At Cost ----- 39 19,891 23,673 43,603
TOTAL ----- 1,968 19,891 23,673 45,532
Carrying Amount at 30 June 2002

At Cost 135 489 32,571 30,720 63,915
TOTAL 51,287 23,560 32,571 30,720 138,138
Land and Buildings for the parent entity were valued by the State Valuation Office independently of the Department on 30 April 1999.
Plant and Equipment is recognised on the basis of depreciated cost.
64
22. PROPERTY, PLANT AND EQUIPMENT (CONTINUED)
CONSOLIDATED
f
Land Buildings Leased Plant and Infrastructure Total
Buildings Equipment Systems
$000 $000 $000 $000 $000 $000
Balance 1 July 2001

At Valuation 968,041 6,402,682 ----- 197,241 ----- 7,567,964
At Cost 64,076 1,379,104 93,257 1,283,513 ----- 2,819,950
Capital Expenditure/Donations 2,906 346,851 ----- 140,738 293 490,788
Disposals (6,504) (37,233) ----- (70,913) ----- (114,650)
Reclassifications (40,100) (13,058) ----- 13,058 40,100 -----
Valuation Increments/Adjustments 40,996 634,251 ----- ----- 65,336 740,583
At Valuation 1,025,847 7,761,669 ----- 187,396 105,436 9,080,348
At Cost 3,568 950,928 93,257 1,376,241 293 2,424,287
TOTAL 1,029,415 8,712,597 93,257 1,563,637 105,729 11,504,635
Depreciation
Balance 1 July 2001
At Valuation ----- 3,064,025 ----- 172,921 ----- 3,236,946
At Cost ----- 121,978 22,264 761,016 ----- 905,258
Charge for the year [see note 2(i)] ----- 192,229 3,644 136,579 5,536 337,988
Writeback on disposals ----- (30,032) ----- (56,244) ----- (86,276)
Reclassifications ----- (31) ----- 31 ----- -----
Valuation Increments/Adjustments ----- 469,720 ----- ----- 29,005 498,725
At Valuation ----- 3,799,332 ----- 174,480 34,541 4,008,353
At Cost ----- 18,557 25,908 839,823 ----- 884,288
TOTAL ----- 3,817,889 25,908 1,014,303 34,541 4,892,641
Carrying Amount at 30 June 2002

At Valuation 1,025,847 3,962,337 ----- 12,916 70,895 5,071,995
At Cost 3,568 932,371 67,349 536,418 293 1,539,999
TOTAL 1,029,415 4,894,708 67,349 549,334 71,188 6,611,994
Land and Buildings include land owned by the NSW Health Department and administered by either the Department or its controlled entities.
Valuations for each of the Health Services are performed regularly within a five year cycle. Revaluation details and details of fully depreciated assets that continue to provide
economic benefit are included in the individual entities’ financial reports.
Plant and Equipment is predominately recognised on the basis of depreciated cost.
65
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
23. RESTRICTED ASSETS

The Department’s financial statements include the
following assets which are restricted by externally
imposed conditions, eg donor requirements.
The assets are only available for application in
accordance with the terms of the donor restrictions.
0 0 Specific Purposes 126,681 127,082

0 0 Perpetually Invested Funds 5,734 6,000
0 0 Research Grants 33,721 31,801
0 0 Private Practice Funds 12,508 31,948
0 0 Other 98,204 86,915
0 0 276,848 283,746
Major categories included in the Consolidation are:
Category Brief Details of Externally Imposed Conditions
Specific Purposes Trust Funds Donations, contributions and fundraisings held in trust for the benefit of specific patient,
Department and/or staff groups.
Perpetually Invested Trust Funds Funds invested in perpetuity. The income therefrom used in accordance with donors’ or
trustees’ instructions for the benefit of patients and/or in support of hospital services.
Research Grants Specific research grants.
Private Practice Funds Staff specialists participating in Rights of Private Practice Schemes.
PARENT CONSOLIDATED
2002 2001 2002 2001
$000 $000 $000 $000
24. PAYABLES
Current
33,549 45,848 Creditors 266,462 281,080
----- ----- Interest ----- -----
Other Creditors
----- ----- – Capital Works 13,163 18,141
12,644 7,748 – Other 59,377 49,368
3,742 29,748 – Intra Health Liability ----- -----
49,935 83,344 339,002 348,589
66
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
25. CURRENT/NON CURRENT INTEREST

BEARING LIABILITIES
Current
----- ----- Bank Overdraft 13,984 10,554
----- ----- Other Loans and Deposits 827 738
2,002 1,307 Finance Leases [See note 29(d)] 5,905 5,247
2,002 1,307 20,716 16,539
Non Current
----- ----- Other Loans and Deposits 3,500 4,079
51,388 53,391 Finance Leases [See note 29(d)] 80,911 84,623
51,388 53,391 84,411 88,702
Repayment of Borrowings
(Excluding Finance Leases)
----- ----- Not later than one year 14,811 11,292
----- ----- Between one and five years 3,213 3,340
----- ----- Later than five years 287 739
----- ----- Total Borrowings at face value 18,311 15,371

(Excluding Finance Leases)
* Health Services are not allowed to operate bank

` overdraft facilities.The amounts disclosed as
‘bank overdrafts’ meet Australian Accounting
Standards reporting requirements, however the
relevant Health Services are in effect utilising and
operating commercially available banking facility
arrangements to their best advantage. The total of
these facilities at a Health Service level is a credit
balance which is inclusive of cash at bank and
investments.
67
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
26. CURRENT/NON CURRENT LIABILITIES

– EMPLOYEE ENTITLEMENTS AND OTHER
PROVISIONS
Current
----- ----- Long Service Leave 72,154 68,508
1,159 987 Accrued Salaries and Wages 74,636 69,379
----- ----- Sick Leave 50 48
1,231 970 Taxation and Other Payroll Deductions 56,469 44,455
6,750 5,823 Aggregate employee entitlements 568,314 569,987
Non Current
----- ----- Long Service Leave 639,257 598,999
----- ----- Sick Leave 772 797
2,599 2,138 Aggregate employee entitlements 743,808 653,326
27. OTHER LIABILITIES

Current
10,460 ----- Income in Advance 39,093 11,578
10,460 ----- 39,093 11,578
Non Current
----- ----- Income in Advance 36,051 34,924
----- ----- 36,051 34,924
Income in advance has been received as a

consequence of Health Services entering into
agreements for the sale of surplus properties
and the provision and operation of private
health facilities and car parks.
68
28. EQUITY
PARENT CONSOLIDATED
f
Accumulated Asset Revaluation Total Equity Accumulated Asset Revaluation Total Equity
Funds Reserve Funds Reserve
2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001
$000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000
Balance at the
beginning of the
Financial Year 62,361 (12,314) 30,140 30,140 92,501 17,826 4,430,459 4,278,879 808,410 589,332 5,238,869 4,868,211
Changes in Equity
– transactions with
owners as owners.
Increase in net
assets from
administrative
restructuring ----- 1,210 ----- ----- ----- 1,210 ----- ----- ----- ----- ----- -----
Total ----- 1,210 ----- ----- ----- 1,210 ----- ----- ----- ----- ----- -----
Changes in Equity
– other than
transactions with
owners as owners.
Result for the Year
from Ordinary
Activities 50,868 73,465 ----- ----- 50,868 73,465 89,982 150,910 ----- ----- 89,982 150,910
Increment on
Revaluation of:
Land ----- ----- ----- ----- ----- ----- ----- ----- 41,783 80,747 41,783 80,747
Buildings and
Improvements ----- ----- ----- ----- ----- ----- ----- ----- 164,531 138,255 164,531 138,255
Infrastructure
Systems ----- ----- ----- ----- ----- ----- ----- ----- 36,331 ----- 36,331 -----
Investments ----- ----- ----- ----- ----- ----- ----- ----- 20 746 20 746
Transfers to/(from)
Revaluation
Reserves ----- ----- ----- ----- ----- ----- (7,020) 670 7,020 (670) ----- -----
Total 50,868 73,465 ----- ----- 50,868 73,465 82,962 151,580 249,685 219,078 332,647 370,658
Balance at end
of Financial Year 113,229 62,361 30,140 30,140 143,369 92,501 4,513,421 4,430,459 1,058,095 808,410 5,571,516 5,238,869
69
f 2002
PARENT
2001
CONSOLIDATED
2002 2001
$000 $000 $000 $000
29. COMMITMENTS FOR EXPENDITURE

(a) Capital Commitments
Aggregate capital expenditure contracted for at
balance date but not provided for in the accounts
525,822 576,442 Not later than one year 525,822 576,442
1,497,832 1,505,011 Later than one year and not later than five years 1,497,832 1,505,011
601,056 492,845 Later than five years 601,056 492,845
Total Capital Expenditure Commitments

2,624,710 2,574,298 (including GST) 2,624,710 2,574,298
(b) Other Expenditure Commitments

Aggregate other expenditure contracted for at
balance date but not provided for in the accounts
----- ----- Not later than one year 26,456 18,070
----- ----- Later than one year and not later than five years 26,886 9,090
----- ----- Later than five years 137 -----
Total Other Expenditure Commitments

----- ----- (including GST) 53,479 27,160
(c) Operating Lease Commitments

Commitments in relation to non-cancellable
operating leases are payable as follows:
36,995 22,592 Later than one year and not later than five years 232,846 184,733
----- 18,150 Later than five years 85,075 102,329
Total Operating Lease Commitments

44,277 46,715 (including GST) 393,667 349,621
The operating leases include motor vehicles arranged

through a lease facility negotiated by State Treasury.
Operating leases have also been arranged in respect

of information technology and electro medical
equipment.
These operating lease commitments are not

recognised in the financial statements as liabilities.
70
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
29. COMMITMENTS FOR EXPENDITURE

(d) Finance Lease Commitments (including GST)
44,121 41,624 Later than one year and not later than five years 59,828 58,796
47,652 59,664 Later than five years 77,929 97,268
101,288 110,265 Total Finance Lease Commitments 151,175 169,375
(38,690) (45,543) Less: Future Financing Charges (50,616) (64,108)

(9,208) (10,024) Less: GST Component (13,743) (15,397)
53,390 54,698 Finance Lease Liabilities 86,816 89,870
2,002 1,307 Current 5,905 5,247

51,388 53,391 Non-Current 80,911 84,623
53,390 54,698 86,816 89,870
(e) Contingent Asset related to Commitments

for Expenditure
The total ‘Expenditure Commitments’ above
includes input tax credits of $251.843 million in
relation to the Parent Entity and $293.003 million
in relation to the NSW Department of Health that
are expected to be recoverable from the
Australian Taxation Office for the 2001/02 year.
The comparatives for 2000/01 are $248.298 million
and $283.678 million respectively.
30. TRUST FUNDS
The NSW Department of Health’s controlled entities hold Trust Fund monies of $132.5 million which are used for the safe keeping of
patients monies, deposits on hired items of equipment and Private Practice Trusts. These monies are excluded from the financial
statements as the Department or its controlled entities cannot use them for the achievement of their objectives. The following is a
summary of the transactions in the trust account:
Patients Refundable Private Practice Total

Trust Deposits Trust Funds Trust Funds
2002 2001 2002 2001 2002 2001 2002 2001
$000 $000 $000 $000 $000 $000 $000 $000
Cash Balance at the

beginning of the
financial year 3,878 3,932 13,388 14,233 95,095 99,115 112,361 117,280
Receipts 9,141 9,052 7,719 9,658 165,049 158,931 181,909 177,641
Expenditure (7,938) (9,106) (8,356) (10,503) (145,439) (162,951) (161,733) (182,560)
Cash Balance at the end

of the financial year 5,081 3,878 12,751 13,388 114,705 95,095 132,537 112,361
71
f CONSOLIDATED)
31. CONTINGENT LIABILITIES (PARENT AND A contingent liability may now exist in respect of the
1999/2000, 2000/01 and 2001/02 Workers Compensation
Fund years.
(a) Claims on Managed Fund
Since 1 July 1989, the NSW Department of Health has The Treasury Managed Fund provides estimates as at
been a member of the NSW Treasury Managed Fund. 30 June each year and the latest available for the first two
The Fund will pay to or on behalf of the Department all sums of these years, viz those advised as at 30 June 2001
which it shall become legally liable to pay by way estimate that an asset of $17.194 million is applicable.
of compensation or legal liability if sued except for This estimate however is subject to further actuarial
employment related, discrimination and harassment claims calculation and a better indication of quantum will not be
that do not have statewide implications. The costs relating available until the last quarter of 2002.
to such exceptions are to be absorbed by the Department.
As such, since 1 July 1989, no contingent liabilities exist in (c) Third Schedule Organisations
respect of liability claims against the Department. A Solvency Based on the definition of control in Australian Accounting
Fund (now called Pre-Managed Fund Reserve) was Standard AAS24, Affiliated Health Organisations listed in
established to deal with the insurance matters incurred before the Third Schedule of the Health Services Act, 1997 are
1 July 1989 that were above the limit of insurance held or for only recognised in the Department’s consolidated Financial
matters that were incurred prior to 1 July 1989 that would Statements to the extent of cash payments made.
have become verdicts against the State. That Solvency Fund However, it is accepted that a contingent liability exists
will likewise respond to all claims against the Department. which may be realised in the event of cessation of health
(b) Workers Compensation Hindsight Adjustment service activities by any Affiliated Health Organisation.
When the New Start (to the) Treasury Managed Fund was In this event the determination of assets and liabilities
introduced in 1995/96 hindsight adjustments in respect of would be dependent on any contractual relationship which
Workers Compensation (three years from commencement may exist or be formulated between the administering
of Fund Year) and Motor Vehicle (eighteen months from bodies of the organisation and the Department.
commencement of Fund Year) became operative. (d) Other Legal Matters
The calculation of hindsight adjustments was reviewed in Eight legal matters are currently before the Courts which
2000/01 to provide an interim adjustment after three years if the Department were unsuccessful in all matters, could
with a final adjustment at the end of year five. give rise to a liability of $710,000.
The interim hindsight adjustment has now been effected
for the 1998/99 year and resulted in a decrease in Net Cost
of Services of $11.673 million.
32. CHARITABLE FUNDRAISING ACTIVITIES
Fundraising Activities
The consolidation of fundraising activities by health services under Departmental control is shown below.
Income received and the cost of raising income for specific fundraising, has been audited and all revenue and expenses have been
recognised in the financial statements of the individual health services. Fundraising activities are dissected as follows:
INCOME DIRECT INDIRECT NET

RAISED EXPENDITURE* EXPENDITURE+ PROCEEDS
$000’s $000’s $000’s $000’s
Appeals (In House) 29,893 842 1,794 27,257

Fetes 283 47 4 232
Raffles 191 23 16 152
Functions 4,670 363 28 4,279
35,037 1,275 1,842 31,920
Percentage of Income 100% 3.6% 5.3% 91.1%
* Direct Expenditure includes printing, postage, raffle prizes, consulting fees, etc
+ Indirect Expenditure includes overheads such as office staff administrative costs, cost apportionment of light, power and other overheads.
The net proceeds were used for the following purposes: $000’s
Purchase of Equipment 16,382

Purchase of Land and Buildings 55
Research 2,031
Purchase through General Fund 1,539
Held in Special Purpose and Trust Fund Pending Purchase 11,913
72
2002
PARENT
2001
CONSOLIDATED
2002 2001
f
$000 $000 $000 $000
33. RECONCILIATION OF NET CASH FLOWS

FROM OPERATING ACTIVITIES TO NET COST
OF SERVICES
19,397 36,718 Net Cash Used on Operating Activities 502,309 479,275
(7,475) (5,393) Depreciation (337,988) (315,558)
Acceptance by the Government of Employee
(7,519) (6,725) Entitlements and Other Liabilities (359,886) (334,084)
(1,388) (565) (Increase)/ Decrease in Provisions (88,809) (67,788)
17,426 20,051 Increase / (Decrease) in Prepayments and Other Assets 28,317 65,985
22,949 24,762 (Increase)/ Decrease in Creditors (19,055) (3,295)
Net Loss/ (Gain) on Sale of Property,
(41) (987) Plant and Equipment 7,295 (6,686)
(6,234,675) (5,939,094) Recurrent Appropriation (6,234,675) (5,939,094)
(434,162) (378,367) Capital Appropriation (434,162) (378,367)
(24,005) (1,121) Other (2,087) (1,023)
(6,649,493) (6,250,721) Net Cost of Services (6,938,741) (6,500,635)
34. NON CASH FINANCING AND

INVESTING ACTIVITIES
----- ----- Assets Received by Donation 3,678 2,117
----- ----- 3,678 2,117
35. 2001/02 VOLUNTARY SERVICES 36. UNCLAIMED MONIES
It is considered impracticable to quantify the monetary Unclaimed salaries and wages of Health Services are paid
value of voluntary services provided to health services. to the credit of the Department of Industrial Relations and
Services provided include: Employment in accordance with the provisions of the Industrial
● Chaplaincies and Pastoral Care – Arbitration Act, 1940, as amended.
Patient and Family Support All money and personal effects of patients which are left in the
● Pink Ladies/Hospital Auxiliaries – custody of Health Services by any patient who is discharged
Patient Services, Fund Raising or dies in the hospital and which are not claimed by the person
● Patient Support Groups – lawfully entitled thereto within a period of twelve months are
Practical Support to Patients and Relatives recognised as the property of health services.
● Community Organisations – All such money and the proceeds of the realisation of any
Counselling, Health Education, Transport, Home Help personal effects are lodged to the credit of the Samaritan Fund
and Patient Activities. which is used specifically for the benefit of necessitous
patients or necessitous outgoing patients.
73
f 37. BUDGET REVIEW
Net Cost of Services

Assets and Liabilities
Net assets increased by $177 million over budget:

The actual Net Cost of Services of $6.939 billion included the
following variations not recognised in the budget: $M
Property, Plant and Equipment increased by $239 million,

$M
largely as a result of asset revaluations performed by
independent valuers 239
Treasury supplementations,
eg for VMO rates and insurance cost increases 48 Receivables, both current and non current, increased
by $23 million, a significant component of which is
Superannuation and Long Service Leave costs
the amount due from the Department of Veterans’
absorbed by the Crown 20
Affairs for services provided 23
Capital Projects expensed and capital grants 57
entitlements increased due to factors such as award
Increased grants to external bodies, increases, additional staffing and the recognition of
eg the Australian Red Cross Blood Service, entitlements not previously brought to account (45)
Black Dog Foundation 15
Accounts Payable increased by $53 million but the
Other 15 actual result is a reduction of some $10 million on
30 June 2001. Given the effects of annual escalation
155
the actual result for the year represents a real reduction
of approximately $20 million over the prior years figure (53)
Result for the Year from Ordinary Activities
Other Liabilities increased by $29 million recognising
The Result for the Year from Ordinary Activities is derived as the advances made for property sales where contracts
difference between the above Net Cost of Services result and have not yet been exchanged (29)
the amounts injected by Government for recurrent services, Investments and Other Assets, net of borrowings has
capital works and superannuation/long service leave costs. increased by $3 million 3
While capital appropriation funding is shown in the Statement Cash has increased as a result of the various movements
of Financial Performance, accounting doctrines require that referenced above 39
capital expenditure is not to be treated as a matching expense
item. By its nature capital expenditure adds value to an entity’s 177
asset base and is correctly reflected in the Department’s
Statement of Financial Position. The amount the Department Cash Flows
receives from year-to-year for capital purposes varies in line ● 2001/02 payments exceeded the budget by $128 million
with its capital works program and therefore movement in this which includes a Goods and Services Tax adjustment
annual amount influences the size of the ‘Result for the Year of approximately $12 million which is offset by receipts.
from Ordinary Activities’. This is demonstrated in that, of the The balance of $116 million closely approximates the
variation from budget for ‘Result for the Year from Ordinary increase in Expenses excluding non cash superannuation
Activities’, the principal component were: and creditor and employee entitlement movements.
● 2001/02 receipts were $89 million more than the budget.
$M This includes the $12 million Goods and Services Tax
adjustment referenced above, coupled with increased
The variation from budget for Net Cost of Services revenues as reported in the Statement of Financial
as detailed above 155 Performance.
Additional recurrent appropriation (48) ● The movement of $71 million in Cash Flows from
Government results from supplementation provided
Additional capital appropriation (22)
after the budget was formulated (Recurrent $48 million,
Crown acceptance of employee liabilities (20) Capital $22 million, Cash Reimbursements for
Superannuation $1 million).
65
74
38. FINANCIAL INSTRUMENTS

a) Interest Rate Risk
f
Interest rate risk, is the risk that the value of the financial instrument will fluctuate due to changes in market interest rates.
The Department of Health’s exposure to interest rate risks and the effective interest rates of financial assets and liabilities,
both recognised and unrecognised, at the (consolidated) Statement of Financial Position date of 30 June are as follows:
Financial Floating interest 1 year or less Fixed interest More than Non-interest Total carrying
Instruments rate rate maturing in: 5 years bearing amount as per
Over 1 to 5 years the Statement
of Financial
Position
2002 2001 2002 2001 2002 2001 2002 2001 2002 2001 2002 2001
$000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000
Financial Assets
Cash 152,783 121,896 110,464 102,742 ----- ----- ----- ----- 923 1,008 264,170 225,646
Receivables ----- ----- ----- ----- ----- ----- ----- ----- 183,200 157,830 183,200 157,830
Shares 3,301 3,201 ----- ----- ----- ----- ----- ----- 8,462 8,282 11,763 11,483
Other Loans
and Deposits ----- ----- 180,822 180,720 44,336 40,103 2,657 ----- ----- ----- 227,815 220,823
Total Financial
Assets 156,084 125,097 291,286 283,462 44,336 40,103 2,657 ----- 192,585 167,120 686,948 615,782
Financial Liabilities
Borrowings – Bank
Overdraft 13,984 10,554 ----- ----- ----- ----- ----- ----- ----- ----- 13,984 10,554
Borrowings – Other 33,426 35,172 2,829 2,045 20,934 16,847 33,954 40,623 ----- ----- 91,143 94,687
Accounts Payable ----- ----- ----- ----- ----- ----- ----- ----- 339,002 348,589 339,002 348,589
Total Financial
Liabilities 47,410 45,726 2,829 2,045 20,934 16,847 33,954 40,623 339,002 348,589 444,129 453,830
38. FINANCIAL INSTRUMENTS

b) Credit Risk
Credit risk is the risk of financial loss arising from another party to a contract/ or financial position failing to discharge a financial
obligation thereunder. The Department of Health's maximum exposure to credit risk is represented by the carrying amounts of the
financial assets included in the consolidated Statement of Financial Position.
Credit Risk by classification of counterparty.
Governments Banks Patients Other Total
2002 2001 2002 2001 2002 2001 2002 2001 2002 2001
$000 $000 $000 $000 $000 $000 $000 $000 $000 $000
Financial Assets
Cash 31,718 31,416 191,873 194,230 ----- ----- 40,579 ----- 264,170 225,646
Receivables 41,231 26,237 ----- ----- 53,507 60,457 88,462 71,136 183,200 157,830
Shares 3,301 3,201 ----- ----- ----- ----- 8,462 8,282 11,763 11,483
Other Loans
and Deposits 176,113 173,295 51,702 47,528 ----- ----- ----- ----- 227,815 220,823
Total Financial
Assets 252,363 234,149 243,575 241,758 53,507 60,457 137,503 79,418 686,948 615,782
The only significant concentration of credit risk arises in respect of patients ineligible for free treatment under the Medicare
provisions. Receivables from this source totalled $12.074 million at balance date.
c) Net Fair Value
As stated in Note 2(r) all financial instruments are carried at Net Fair Value, the values of which are reported in the Statement
of Financial Position.
d) Derivative Financial Instruments
The Department of Health holds no Derivative Financial Instruments.
END OF AUDITED FINANCIAL STATEMENTS
75
Appendix Page
1 Addresses and telephone numbers of NSW Department of Health and selected services ...........78
2 Divisions within the NSW Department of Health .............................................................................79
3 Senior executive performance statements ......................................................................................85
4 Profiles of metropolitan and rural Area Health Services..................................................................89
Appendices 5 Map of rural Area Health Services...................................................................................................94

5 Map of metropolitan Area Health Services......................................................................................95
6 Selected data for Area Health Services...........................................................................................96
7 Emergency Department performance by Area Health Service........................................................98
8 Private hospital activity levels for the year ended 30 June 2002....................................................99
9 Hospital statistics for the state of NSW 2000-01 ..........................................................................100
10 Three year comparison of key items of expenditure .....................................................................101
11 Capital Works programs ................................................................................................................102
12 Funding grants made by the NSW Department of Health ............................................................105
13 Non-government organisations funded by the NSW Department of Health.................................110
14 NSW Health accounts age analysis...............................................................................................118
15 Public Health Outcome Funding Agreement .................................................................................119
16 Acts administered by the NSW Minister for Health and legislative changes ................................120
17 Section 301 of the Mental Health Act ...........................................................................................122
18 Public psychiatric hospitals with beds gazetted under the Mental Health Act 1990....................125
19 Public hospital psychiatric units gazetted under the Mental Health Act 1990..............................126
20 Private hospitals in NSW authorised under the Mental Health Act 1990......................................127
21 NSW Government Action Plan for Women....................................................................................128
22 Privacy Management Plan .............................................................................................................130
23 Disability Plan.................................................................................................................................131
24 Equal employment opportunity statistics ......................................................................................132
25 Occupational health and safety .....................................................................................................133
26 Human resources...........................................................................................................................134
27 Risk management and insurance activities ...................................................................................136
28 Freedom of Information .................................................................................................................138
29 Government Energy Management Policy ......................................................................................143
30 Waste Reduction and Purchasing Policy.......................................................................................145
31 Code of Conduct ...........................................................................................................................146
32 Fraud Policy ...................................................................................................................................151
33 Government Action Plan................................................................................................................153
34 Credit card certification .................................................................................................................155
35 Corporate Plan...............................................................................................................................156
36 Ethnic Affairs Priority Statement....................................................................................................159
37 Electronic service delivery .............................................................................................................163
38 Our commitment to service ...........................................................................................................164
39 Consumer response.......................................................................................................................165
40 Quality ............................................................................................................................................166
41 Performance Audit reports conducted by Audit office – implementation .....................................168
42 Infectious disease notifications in NSW 1992-2001 ......................................................................169
43 Number of staff employed in the NSW public health system .......................................................170
44 Number of registered health professionals in NSW ......................................................................171
45 History............................................................................................................................................172
46 2001 Baxter Better Health Awards ................................................................................................173
47 Overseas visits by staff..................................................................................................................174
48 Selected NSW Department of Health significant committees.......................................................177
49 Consultants used by the NSW Department of Health...................................................................179
50 Selected significant NSW Health publications ..............................................................................180
51 Significant circulars released by the NSW Department of Health.................................................182
77
Addresses and telephone numbers of
NSW Department of Health and selected services
NSW Department Pharmaceutical Services Branch Selected services

of Health Building 29 NSW Multicultural Health
North Sydney Office Gladesville Hospital Campus Communication Service
73 Miller Street Cnr Punt and Victoria Road Level 1
North Sydney NSW 2060 Gladesville NSW 1675 North Block
(Locked Mail Bag 961 (PO Box 103 Sydney Hospital
North Sydney NSW 2059) Gladesville NSW 1675) Macquarie Street
Tel. 9391 9000 Tel. 9879 3214 Sydney NSW 2000
Fax. 9391 9101 Fax. 9859 5165 (GPO Box 1614
Sydney NSW 2001)
Director-General Ms Robyn Kruk Methadone Program
Tel. 9382 7516
Business hours 9.00am – 5.00pm Tel. 9879 5246
Fax. 9382 7517
Monday to Friday Fax. 9859 5170
Manager Ilona Lee
Foveaux Street Site Enquires relating to
Business hours 8.30am – 5.00pm
authorities to prescribe other
28 Foveaux Street Monday to Friday
drugs of addiction
Surry Hills NSW 2010
Tel. 9879 5239 Department of Forensic
Business hours 8.30am – 5.00pm Medicine
Fax. 9859 5175
Monday to Friday
1
50 Parramatta Road
Chief Pharmacist & Director
Gladesville Hospital Campus
Glebe NSW 2037
Mr John Lumby
(PO Box 90
Victoria Road Business hours 8.30am – 5.30pm Glebe NSW 2037)
Gladesville NSW 2111 Monday to Friday
Tel. 8584 7800 (24hrs)
Environmental Health Branch Fax. 9552 1613
Monday to Friday
Administration Building General Manager Mark Patterson
Better Health Centre
Gladesville Hospital Campus Business hours 8.30am – 4.30pm
Publications Warehouse
Victoria Road
(Locked Mail Bag 5003 Monday to Friday
Gladesville NSW 2111
Gladesville NSW 2111) Mortuary hours 24 hour service
(PO Box 798
Tel. 9816 0452 (50 Arundel Street
Gladesville NSW 1675)
Fax. 9816 0492 Glebe NSW 2037)
Tel. 9816 0234
Business hours 8.00am – 4.00pm Fax. 9816 0377
Monday to Friday
Manager Dr Stephen Corbett*
Health Professionals Business hours 8.30am – 5.00pm
Registration Board
Monday to Friday
Level 2
APPENDIX
28 Foveaux Street Food Branch
Surry Hills NSW 2010 Building 20B

(PO Box K599 Gladesville Hospital Campus
Haymarket NSW 1238) Victoria Road
Tel. 9219 0222 Gladesville NSW 2111
Fax. 9281 2030 (PO Box 798
Gladesville NSW 1675)
Director Mr Jim Tzannes
Tel. 9816 0268
Fax. 9817 7596
Cashier services close at 4.30pm
Manager John McMahon
Monday to Friday
* Vicki Sheppeard acting in position since
Monday to Friday 24 June 2002
78
Divisions within the
Audit Goals
● To develop and implement audit plans,
Director which address the strategic directions for
Victoria Walker health, corporate and business plans, and
Audit Division comprises two main branches are consistent with best audit practice.
that have many functions within the health ● To provide ongoing advice and support
system.The division is responsible to the to the Information Management Division,
Director-General and the Audit Committee. to assist in implementing the Government
Action Plan for Health.
Function within NSW Health
● Conducting comprehensive internal audits ● To develop and improve professional
of the Department’s divisions and branches, competencies of all staff.
affiliated health organisations and statutory ● To develop, improve and streamline
health corporations. Audit Division’s advisory services to the
● Reviewing the performance of internal NSW Health system, in particular making
audit in Area Health Services (AHS) more effective use of the NSW HealthNet.
and other NSW Health organisations. ● To implement the electronic provision
2
● Conducting audits, appraisals, reviews of risk assessments, following a successful
and investigations in the NSW public pilot study with nominated AHSs.
health system, at the request of the ● To implement the electronic provision
Minister, Director-General and ICAC. of ‘working with children checks’
● Coordinating the criminal record and ‘NSW criminal records checks’
checking process, and risk assessment for results to both government and
the NSW Health system, including health non-government agencies.
related private organisations. ● To provide enhanced access to the
● Developing policy and procedures for the Department lodgement database by
implementation of criminal record checks. AHSs, to reduce the duplication of
lodgements, which will reduce processing
● Responsible to the Director-General times and cost.
for investigating and assessing persons
employed in the NSW Health system ● To provide accredited training opportunities
charged with patient and/or child abuse. to AHS staff, in relation to investigation
management and risk assessment.
● Developing, amending and promulgating
NSW policy and procedure manuals. Branches
APPENDIX
● Designing and distributing standard forms ● Audit
used throughout NSW Health. ● Staff Records Management
● Preparing and promulgating delegations

for the NSW Department of Health.
79
Communications ● To manage media queries and interviews

with NSW Health staff.
Director
Liz Jakubowski ● To advise the public of major health issues
and disease outbreaks through media
Function within NSW Health releases, media conferences and other
Communications provides up-to-date health means as appropriate.
messages through publications, campaigns,
● To produce and disseminate relevant and
marketing, online electronic publishing
accurate health information through
and the media.This information is provided
publications and resources, web pages
to the general public, health professionals,
and media coverage.
members of Parliament, government and
non-government agencies. ● To develop, maintain and support the
NSW HealthNet/Web.
Goals
● To identify opportunities for Electronic
● To develop and implement communication
Service Delivery (ESD) within
strategies to raise awareness of health issues
NSW Health.
in the community and specific target groups.
To develop a coordinated approach for
2
●
● To maintain effective networks with
online delivery of information and services
Area Health Service public affairs officers
across the NSW Health system.
to streamline communications across
the NSW Health system. ● To set policies, directions and standards
to support the development of web-based
● To develop communication strategies that
content and applications.
help promote the role of NSW Health
services and raise awareness of its services Branches
to the community. ● Information Production and Distribution
● To ensure that resources are appropriately – Better Health Centre Publications
allocated to projects that will provide Warehouse
benefit to the people of NSW.
● Marketing and Events
● To ensure that consumer information
● Media Unit
is up-to-date and easy to use on the
NSW HealthWeb site. ● Online Service Development
● To maintain the Department’s corporate
identity within all resources produced.
APPENDIX
80
Executive and ● Providing administrative services in the

Corporate Support areas of purchasing, equipment disposal,
travel, building management, transport,
Director security accommodation and maintenance
Rosemary Milkins of conference rooms.
Function within NSW Health ● Developing departmental human resource
Executive and Corporate Support’s strategic policies, recruitment and staffing programs
direction is closely integrated with the and payment of departmental salaries
NSW Department of Health goal and allowances.
‘Better Value’, and seeks to provide quality
● Providing support and guidance to staff
corporate services and executive support.
on all human resource issues.
It recognises that achieving ‘Better Value’
● Providing records management, mailroom
is based on an infrastructure of effective
services, circulars and the servicing of
support services that emphasise staff and
subpoenas for the Department.
stakeholder needs as well as providing
leadership and direction in the efficient use
Goals
of resources.
To provide integrated corporate services
2
●
Functions include: to departmental management and staff.

● Providing high quality, strategic, ● To emphasise staff and stakeholder needs.
coordinated advice and information for
● To provide leadership and direction in the
the Minister and the Director-General
efficient use of resources.
in relation to matters of significant
interest to the public, Parliament, Cabinet, Branches
Health Care Complaints Commission, ● Executive Support
Coroner, Ombudsman, central agencies
and various ministerial councils. ● Corporate Computing Services
● Preparing matters for the Minister’s ● Corporate Administrative Services

use in Parliament, and responses to ● Corporate Personnel Services
parliamentary questions.
● Corporate Records Services
● Providing support services to the
1,000 users of the Department’s
computer network.
● Managing the local area network (LAN)
APPENDIX
infrastructure and email services.
81
Operations ● Ensuring that the health system operates

within the funds made available by
Deputy Director-General government.
Robert McGregor
Goals
● To ensure Health Services and Statewide
Functions include:
Services are accountable for their
● Coordinating capital investment, maintenance performance and effectiveness.
and disposal within the NSW Health system
● To distribute the available financial
to ensure effective application of the
resources in an equitable manner, providing
government’s total asset management policies.
an appropriate balance between changing
● Providing advice to the Minister and demands and needs for health services.
Director-General on the allocation of the
● To maintain effective systems for industrial
health system’s resources.
relations management.
● Coordinating strategic operational and
● To deliver business solutions and promote
procurement reform to improve efficiency
the better use of information within
and effectiveness, through joint action
NSW Health.
2
between Health Services and/or agencies
and the private sector. ● To promote the use of information
to support responsive, effective, quality
● Providing strategic and practical advice
service delivery and continuous service
on industrial relations matters impacting
improvement.
on NSW Health.
● To deliver a strategy for the management
● Developing and maintaining the
of information technology and infrastructure
Department’s corporate data bases.
for the NSW Health system.
● Providing nursing leadership for the state and
a professional interface between the Minister, Directorates
the Director-General, and the Department ● Asset and Procurement Management
of Health, and the public, private and
● Employee Relations
academic sectors of the nursing profession.
● Finance and Business Management
● Leading and supporting the Statewide
Information Management and ● Information Management
Technology Program. – Enterprise Information Technology
● Developing the overall information – Health System Performance
APPENDIX
management and technology strategies

for the NSW Health System. – Information and Business Solutions
● Managing performance agreements and – Information Management and Support

contracts with Treasury, AHSs and other ● Legal and Legislative Services
statewide health service providers.
● Office of the Chief Nursing Officer
● Ensuring that the financial resources
available to the NSW Health system are
utilised to achieve better health and provide
an appropriate range of health services for
the people of NSW.
82
Policy ● To lead and manage strategic relationships

with the Commonwealth and other state
Deputy Director-General and territory governments, including
Assoc Prof Debora Picone negotiating and managing the Australian
Function within NSW Health Health Care Agreement (AHCA).
The Policy Directorate is responsible for policy ● To develop and implement policies and
development, planning and statewide program programs improving delivery of health
management aimed at improving the delivery services to rural areas.
and coordination of health services for the
● To initiate policy and planning towards
people of NSW.
better community-based primary health
The Directorate promotes research, consultation services.
and negotiation in response to identified issues
● To ensure that health policy embodies
in the NSW Health system.
social justice and equity principles,
A high priority is engaging key stakeholders and promotes a focus on the needs
in the policy process, including other health of disadvantaged population groups.
consumers, clinicians, other government
● To build partnerships with the
agencies, non-government organisations
2
Commonwealth Government, other
and health services.
NSW government agencies and
The policy process follows the NSW Health non-government organisations.
principles of equity, effectiveness and efficiency
● To develop information systems to support
in health service delivery.
effective health service delivery across NSW.
Goals
Branches
● To ensure maximum participation of the
● Centre for Mental Health
NSW community in the development of
policies supporting health service delivery. ● Consumer and Community Development
● To provide expert advice to NSW Health ● Funding and Systems Policy
and the Minister on trends in health service ● Government Relations
demand and approaches to service delivery
including new models of care. ● Oral Health
● To implement reforms and develop ● Primary Health and Community Care

policies, strategies and funding models ● Quality and Clinical Policy
promoting more equitable and effective
● Statewide Services Development
APPENDIX
health services for the people of NSW.
● Government Action Plan Unit
● To ensure that health services are reliable
and effective, of a high quality and ● Divisional Support Unit
delivered in a safe environment for
consumers and staff.
● To implement and monitor the progress
of the Government Action Plan for Health.
83
Public Health Centres and Branches

● Aboriginal Health Branch
Deputy Director-General, Chief Health Officer
Dr Greg Stewart ● Drug Programs Bureau
● Centre for Epidemiology and Surveillance
Public health in NSW works with – Health Survey Program
communities and organisations to create – Population Health Indicators
circumstances that promote and protect
health, and prevent injury, ill health, and – Population Health Information
disease. It has a key role in monitoring health – Public Health Training and
and implementing services to improve life Development
expectancy and the quality of life. It develops,
– Surveillance Methods
maintains and reports upon health data sets,
implements disease and injury prevention ● Centre for Health Protection
measures, promotes and educates on healthier – AIDS and Infectious Diseases
life styles, and protects health through disease
prevention services and legislation. It ensures – Communicable Diseases Surveillance
and Control
2
the quality use of medicines, the safe use
of poisons, and safe, high quality care – Environmental Health and Water
in private health facilities.
– Food Safety
Goals – Pharmaceutical Services
● To work with individuals and communities
– Private Health Care
to ensure choices can be made that
improve health. ● Centre for Health Promotion
● To create social and physical environments – Injury Prevention
that promote health and support those – Nutrition and Physical Activity
individual choices.
– Strategies and Settings
● To ensure an appropriate regulatory
framework exists within which health can – Strategic Research and Development
be protected and improved. – Tobacco and Health
● To implement the NSW Government’s ● Business Unit
response to the ‘NSW Drug Summit’ as it
● Counter Disaster Planning and
pertains to health via a plan that is accessible
Response Branch
APPENDIX
and driven by a quality framework.

● Medical Education Training and
Workforce Branch
● Research and Development Branch
84
Senior executive performance statements
name Robert McGregor name Ken Barker

position title Deputy Director-General position title Chief Financial Officer
Operations Operations
SES level 7 SES level 5
remuneration $278,496 remuneration $200,615
period in position 5 years period in position 8 years
Strategic initiatives Strategic initiatives

● Provide strategic advice to the ● Coordinate and monitor the NSW Health
Director-General on significant financial financial budget during 2001-02.
and operational issues in the health system.
● Issue the 2001-02 allocation letters,
● Lead effective strategic direction and reflecting the financial principles of the
management of industrial relations Government Action Plan, as announced
impacting across NSW. on 8 March 2000.
● Lead the implementation of strategies ● Coordinate the Capital Charging Policy.
for achieving better governance
● Involvement in the ongoing improvement
throughout NSW Health.
in financial aspects of Episode Funding and
3
● Support and contribute to the achievement related funding models arising from
of key strategic performance reforms Government Action Plan.
within the NSW Health system.
● High level involvement in the introduction
of the VMO Treasury Managed Fund
Management accountabilities
Medical Malpractice Pool and related issues.
● Provided effective advice on strategies
for management of operational activities ● Coordinate the 2002-03 NSW Health
of the health system. Budget as presented in the State Budget
Papers.
● Developed and monitored implementation
of effective and innovative budget processes
and strategies across the health system.
● Observed all statutory and financial
● Led effective strategies for the reporting requirements.
improvement of employee relations across
● Provided high level financial management
and within the NSW Health system.
and business service advice to the
● Contributed to the implementation of the Director-General and Senior Executive
NSW Government Action Plan for Health. of Department, together with relevant
financial strategic advice to Area Health
APPENDIX
● Supported the development of legislation of
Service Chief Executive Officers and
key significance to the NSW Health system.
their staff.
● Provided leadership in strengthening an
ethical culture within NSW Health.
85
name David Gates name Debora Picone

position title General Manager position title Deputy Director-General
Asset & Procurement Mgt Policy
SES level 5 SES level 7
remuneration $193,213 remuneration $272,571
period in position 7 years period in position 2 years
Strategic initiatives Strategic initiatives

● Develop and approve funding for major ● Provide strategic advice to the Director-
Area asset realignment strategies in Central General and the Minister for Health.
Coast, Hunter and Western Sydney AHSs.
● Direct policy activities across NSW Health.
● Complete the design and tendering
● Lead the continuing implementation of
for the first 19 rural hospital projects in
the Government Action Plan for Health
the Strengthening Rural Health in Small
and the Sinclair Report on Health Services
Towns program.
in Small Towns.
● Develop a Health Infrastructure
● Represent NSW Health and the Minister
Public-Private Partnerships Program.
for Health in key state and national
3
● Develop the new Integrated Clinical negotiations, including the Australian Health
Information Systems Program, including Care Agreement.
strategies for implementation of a
● Oversee the development of new strategies
Statewide Unique Patient Identifier and
and resources in mental health.
the NSW Electronic Health Record.
● Oversee new approaches in quality
● Implement new major information systems,
improvement in health, including the
including the Health Information
Clinicians’Toolkit, Sentinel Alerts and
Exchange and the Community Health
the Quality Framework.
Information System.
● Oversee improvements to public access
Management accountabilities in Emergency Departments.
● Achieved $554M expenditure in health ● Oversee the establishment of the Health
infrastructure, including new assets, Participation Council.
redevelopment, maintenance and
information technology, and $33M Management accountabilities
revenue from the sale of assets. ● Provided effective advice on policy issues
● Developed the Asset Management across NSW Health and issues relating
APPENDIX
Reform Program. to other services.
● Managed all Divisional and external ● Managed Policy Division operational

reporting requirements. and program budgets.
86
name Jozefa Sobski name Greg Stewart

position title Chief Information Officer position title Deputy Director-General
SES level 5 Public Health
remuneration $191,733 SES level 7
period in position 15 months remuneration $272,571
period in position 5 months
Strategic initiatives
● Provide strategic direction, priority setting Strategic initiatives
and management of program implementation ● Provide strategic and operational advice
for the Information Management Directorate. to the Director-General across all areas
of public health.
● Coordinate IM policy and program responses
to Government Action Plan initiatives ● Direct the public health activities of
and other NSW Health initiatives. NSW Health at policy, planning and
operational levels.
● Develop the overall IM&T strategies for
the NSW Health system, consistent with ● Provide leadership to the broader
NSW Health priority and direction. public health network, including the
implementation of ‘Healthy People 2005:
● Manage and coordinate information processes
3
New Directions for Public Health in NSW’.
and reporting for NSW Health system
performance improvement. ● Represent NSW Health at key state
and national public health forums including
● Standardise data definitions and data the National Public Health Partnership.
architectures.
● Initiate the NSW Public Health Forum.
● Developed the NSW Health Information Management accountabilities
Management and Technology Strategic ● Managed Public Health Division
Plan 2001-2003. operational and program budgets.
● Completed the Information Management ● Supported the implementation of the

and Technology Education Training and NSW Government Action Plan for Health.
Development Strategy, and the Electronic
Health Record Strategy (NSW EHR Net).
● Reviewed and reformed the information
management and technology governance
structure and reviewed statewide data
collections.
APPENDIX
● Reviewed Data Centres, formulated a Data
Centre Strategy, and established the Health
Data Operations Centre and Enterprise
Test Environment.
● Coordinated the implementation of strategies
to reduce booked patient waiting times,
and over-sighted the development of a
new system of networking Emergency
Departments across Sydney metropolitan
public hospitals.
87
SES statistics as at 30 June 2002

SES level Number of females Number of males Total
8 0 0 0
7 1 2 3
6 0 0 0
5 1 2 3
4 0 0 0
3 5 3 8
2 5 8 13
1 4 5 9
TOTAL 16 20 36
SES statistics as at 30 June 2001
3
Information broken into SES levels is not available for 2000-2001, however total numbers are:
Number of females Number of males Total
12 23 35
APPENDIX
88
Profiles of metropolitan and rural
Area Health Services
Central Coast AHS Other services Public Aged Care Facilities

Gosford Hospital Department of Forensic Medicine Allandale Aged Care Facility
Holden Street Division of Population Health Muswellbrook Nursing Home
Gosford NSW 2250 HealthQuest Wallsend Nursing Home
(PO Box 361 Gosford) Tresillian Family Care Centre
Illawarra AHS
Tel. 4320 2111 Fax. 4325 0566
Hunter AHS 33 Five Islands Road
Business hours 8.30am – 5.00pm Lookout Road Port Kembla NSW 2505
Monday to Friday New Lambton Heights (Private Bag No. 3)
Chief Executive Officer NSW 2305 Tel. 4275 5111 Fax. 4276 1447
Jon Blackwell (Locked Bag No 1)
Local Government Areas Tel. 4921 4960 Fax. 4921 4969 Monday to Friday
Gosford,Wyong 24 hour Healthlink (Hunter
Chief Executive Officer
Health Information)
Public Hospitals Dr Tony Sherbon
Tel. 1800 063635
Gosford Hospital Local Government Areas
Long Jetty Health Care Centre Business hours 8.30am – 5.00pm
Monday to Friday Kiama, Shellharbour,
Woy Woy Hospital Shoalhaven,Wollongong
Wyong Hospital Chief Executive Officer
4
Professor Katherine McGrath Public Hospitals
Central Sydney AHS Bulli District Hospital
Local Government Areas
Building 11 Coledale District Hospital
Cessnock, Dungog, Lake
RPA Campus David Berry Hospital
Macquarie, Maitland, Merriwa,
Missenden Road Kiama Hospital and Community
Murrurundi, Muswellbrook,
Camperdown NSW 2050 Health Service
Newcastle, Port Stephens,
Tel. 9515 9600 Fax. 9515 9611 Milton-Ulladulla Hospital
Scone, Singleton
Port Kembla Hospital
Public Hospitals/Polyclinics Shellharbour Hospital
Monday to Friday
Belmont District Hospital Shoalhaven District Memorial
Chief Executive Officer Cessnock District Hospital Hospital
Dr Diana Horvath AO Denman Hospital Wollongong Hospital
Local Government Areas Dungog and District Hospital
Ashfield, Burwood, Canterbury, James Fletcher Hospital Northern Sydney AHS
Canada Bay, Leichhardt, John Hunter Hospital c/- Royal North Shore Hospital
Marrickville, Strathfield and parts The John Hunter Children’s Pacific Highway
of Sydney and South Sydney Hospital St Leonards NSW 2065
Kurri Kurri District Hospital Tel. 9926 8418 Fax. 9926 6025
Public Hospitals
Maitland Hospital Business hours 8.00am – 5.00pm
APPENDIX
Balmain Hospital
Merriwa District Hospital Monday to Friday
Canterbury Hospital
Morisset Hospital Chief Executive Officer
Concord Repatriation General
Muswellbrook District Hospital Dr Stephen Christley
Hospital
Nelson Bay Polyclinic
Dame Eadith Walker Hospital Local Government Areas
Royal Newcastle Hospital
King George V Hospital Hornsby, Hunters Hill, Ku-ring-
Scott Memorial Hospital, Scone
Rachel Forster Hospital gai, Lane Cove, Manly, Mosman,
Singleton District Hospital
Royal Prince Alfred Hospital North Sydney, Pittwater, Ryde,
Toronto Polyclinic
Rozelle Hospital Warringah,Willoughby
Wilson Memorial Hospital,
Thomas Walker Hospital
Murrurundi
United Dental Hospital
Newcastle Mater Misericordiae
Hospital
89
Public Hospitals The St George Hospital and Public Nursing Homes

Greenwich Hospital Community Health Services Queen Victoria Memorial
– (part of Hope Healthcare) The Sutherland Hospital and Home (Thirlmere)
Hornsby Ku-ring-gai Hospital Community Health Services Carrington Centennial Hospital
Macquarie Hospital
Affiliated Health Organisations Third Schedule Institutions
Manly Hospital
Calvary Hospital Braeside (part of Hope
Mona Vale Hospital
Sacred Heart Palliative Care Healthcare)
Neringah Hospital
Service Carrington Centennial Hospital
– (part of Hope Healthcare)
St Vincent’s Hospital Sydney Ltd Karitane
Royal North Shore Hospital
War Memorial Hospital
Royal Rehabilitation Centre, Wentworth AHS
(Waverley)
Sydney Nepean Hospital Campus
Ryde Hospital Public Nursing Homes Derby Street
Garrawarra Centre for Aged Care Penrith NSW 2751
Public Nursing Homes
Graythwaite Nursing Home SESAHS also has administrative (PO Box 63, Penrith, 2751)
– (part of Hope Healthcare) responsibility for the Gower Tel. 4734 2120 Fax. 4734 3734
St Catherine’s Villa Wilson Memorial Hospital on
Lord Howe Island and Area-
Monday to Friday
4
Other services wide community health
Kolling Institute services and programs. Chief Executive Officer
Northern Sydney Home Mr Martin Bowles
Other services
Nursing Service Local Government Areas
Eastern Sydney Scarba Service
Sydney Dialysis Centre Blue Mountains, Hawkesbury,
Early Intervention Program
South East Health Penrith
South Western Sydney
Primrose House AHS Public Hospitals
Cnr Russell Ave and Malua St Eastern Campus ANZAC Memorial Hospital
Dolls Point NSW 2219 Liverpool Hospital Blue Mountains District
(PO Box 430 Kogarah 1485) Elizabeth Street Nepean Hospital
Tel. 9947 9898 Fax. 9947 9891 Liverpool BC 1871 Springwood Hospital
Business hours 8.30am – 5.00pm (Locked Mail Bag 7017) Tresillian Wentworth
Monday to Friday Tel. 9828 5700 Fax. 9828 5704 In addition, the Area Health
Chief Executive Officer Service contracts with
Deborah Green Hawkesbury District Health
Monday to Friday
Service Ltd for the provision
Local Government Area Chief Executive Officer of public health services in the
Sydney City (part),Woollahra, Ian Southwell Hawkesbury.
APPENDIX
Waverley, South Sydney (part), Local Government Areas

Randwick, Botany, Rockdale, Public Nursing Homes
Bankstown, Camden, Governor Phillip Nursing Home
Kogarah, Hurstville, Sutherland Campbelltown, Fairfield, Bodington Red Cross Hospital,
Public Hospitals Liverpool,Wollondilly, Wentworth Falls (run by
Royal Hospital for Women Wingecarribee Catholic Health Care)
Sydney Children’s Hospital, Public Hospitals
Randwick Bankstown-Lidcombe Hospital Western Sydney AHS
Sydney/Sydney Eye Hospitals Bowral District Hospital Level 3
– (including The Langton Camden Hospital Westmead Centre for Oral Health
Centre) Campbelltown Hospital Westmead Hospital
The Prince Henry/ Fairfield Hospital Cnr Darcy and
Prince of Wales Hospitals Liverpool Hospital Hawkesbury Roads
90
Westmead NSW 2145 Wentworth Health Service Junee District Hospital

Tel. 9845 7000 Fax. 9689 2041 Wilcannia Health Service Leeton District Hospital
Lockhart and District Hospital
Business hours 8.30am – 5.00pm Other Public Health Facilities
Narrandera District Hospital
Monday to Friday Dareton Primary Care and
Temora and District Hospital
Chief Executive Officer Community Health Centre
Tocumwal Hospital
A/Prof Steven Boyages Wanaaring Nursing Service
Tumbarumba Multi-Purpose
White Cliffs Nursing Service
Local Government Areas Service
Auburn, Baulkham Hills, Greater Murray AHS Tumut (including Adelong
Blacktown, Holroyd, Parramatta Locked Mail Bag 10 Subsidiary)
Wagga Wagga 2650 Urana Multi-Purpose Service
Public Hospitals
Tel. 6933 9185 Fax. 6933 9188 Wagga Wagga Base Hospital
Auburn Hospital
(including The Rock and
Blacktown Hospital Business hours 8.30am – 5.00pm
Tarcutta Community Centres)
Cumberland Hospital Monday to Friday
Mt. Druitt Hospital West Wyalong and District
Chief Executive Officer
Westmead Hospital Hospital (including Ungarie)
Karyn McPeake
Affiliated Health Organisations Affiliated Health Organisation
Mercy Hospital, Albury
4
Lottie Stewart Hospital Albury, Berrigan Bland,
St Joseph’s Hospital Carrathool, Conargo, Macquarie AHS
Coolamon, Cootamundra, PO Box 4061
Far West AHS
Corowa, Culcairn, Deniliquin, Dubbo 2830
PO Box 457
Griffith, Gundagai, Hay,
Broken Hill 2880 Tel. 6841 2222 Fax. 6841 2225
Holbrook, Hume, Jerilderie,
Tel. (08) 8080 1333 Junee, Leeton, Lockhart, Murray, Business hours 8.30am – 5.00pm
Fax. (08) 8080 1682 Murrumbidgee, Narrandera, Monday to Friday
Business hours 8.30am – 5.00pm Temora,Tumbarumba,Tumut, Chief Executive Officer
(CST) Urana,Wagga Wagga,Wakool, Jeannine Biviano
Monday to Friday Windouran Local Government Areas
Chief Executive Officer Public Hospitals City of Dubbo, Shire of Bogan,
Heather Gray Albury Base Hospital Cobar, Coolah, Coonabarabran,
Local Government Areas Barham Koondrook Soldiers’ Coonamble, Gilgandra, Mudgee,
City of Broken Hill, Shires of Memorial Hospital Narromine,Warren,Wellington
Balranald, Brewarrina, Bourke, Batlow District Hospital Public Hospitals
Central Darling,Wentworth, Berrigan War Memorial Hospital Baradine Multi-Purpose Service
Walgett, Unincorporated Area Coolamon-Ganmain Multi- Cobar Health Service
APPENDIX
Purpose Service Coolah Multi-Purpose Service
Local Health Services
Cootamundra Hospital Coonabarabran Health Service
Balranald Health Service
Corowa Hospital Coonamble Health Service
Bourke Health Service
Culcairn Multi-Purpose Service Dubbo Base Hospital
Brewarrina Health Service
Deniliquin Hospital Dunedoo War Memorial
Broken Hill Health Service
Finley Hospital Health Service
Collarenebri Health Service
Griffith Base Hospital Gilgandra Multi-Purpose Service
Goodoonga Health Service
Gundagai District Hospital Gulargambone Multi-Purpose
Lightning Ridge Health Service
Hay Hospital Service
Menindee Health Service
Henty District Hospital Gulgong District Health Service
Ivanhoe Health Service
Hillston District Hospital Mudgee District Health Service
Tibooburra Health Service
Holbrook Hospital Narromine District Health
Walgett Health Service
Jerilderie District Hospital Service
91
Nyngan District Health Service Local Government Areas Local Government Areas
Trangie Multi-Purpose Service Cities of Bathurst, Greater Cities of Armidale-Dumaresq
Warren Multi-Purpose Health Lithgow and Orange, Shires and Tamworth, Municipalities
Service of Blayney, Cabonne, Cowra, of Glen Innes, Shires of Barraba,
Wellington District Health Evans, Forbes, Lachlan, Oberon, Bingara, Boggabri, Gunnedah,
Service Parkes, Rylstone,Weddin Guyra, Inverell, Manilla, Moree
Plains, Narrabri, Nundle, Parry,
Affiliated Health Organisation Public Hospitals
Quirindi, Severn,Tenterfield,
Lourdes Hospital, Dubbo Bathurst Base Hospital
Uralla,Walcha,Yallaroi
Blayney District Hospital
Mid North Coast AHS
Bloomfield Hospital Public Hospitals
PO Box 126 Canowindra Soldiers’ Memorial Armidale Hospital
Port Macquarie NSW 2444 Hospital Barraba and District Hospital
Tel. 6588 2949 Fax. 6588 2942 Condobolin District Hospital Bingara and District Hospital
Business hours 8.00am – 5.00pm Cowra District Hospital Boggabri District Hospital
Monday to Friday Cudal War Memorial Hospital Glen Innes District Hospital
Chief Executive Officer Eugowra Memorial Hospital Gunnedah District Hospital
Terry Clout Forbes District Hospital Guyra District War Memorial
Grenfell Rural Hospital and Hospital
4
Local Government Areas Health Service (MPS) Inverell District Hospital
Cities of Coffs Harbour and Lake Cargelligo Rural Hospital Manilla District Hospital
Greater Taree, Municipality of and Health Service (MPS) Moree District Hospital
Hastings, Shires of Bellingen, Lithgow and Integrated Health Narrabri District Hospital
Great Lakes, Gloucester, Facility Prince Albert Memorial
Kempsey, Nambucca Molong District Hospital Hospital (Tenterfield)
Public Hospitals Oberon Rural Hospital and Quirindi Hospital
Bellingen River District Hospital Health Service (MPS) Tamworth Base Hospital
Bulahdelah District Hospital Orange Base Hospital Tingha Hospital
Coffs Harbour Base Hospital Parkes District Hospital Vegetable Creek Hospital
Dorrigo Multi-Purpose Service Peak Hill Hospital (Emmaville)
Gloucester Soldiers’ Memorial Portland District Hospital Walcha District Hospital
Hospital Rylstone District Hospital Warialda District Hospital
Macksville and District Hospital Tottenham Hospital Wee Waa District Hospital
Manning Base Hospital Tullamore Hospital Werris Creek District Hospital
Port Macquarie Base Hospital Trundle Rural Hospital and
Kempsey District Hospital Health Service (MPS) Northern Rivers AHS
Wauchope District Memorial Locked Bag 11
Affiliated Health Organisations Lismore 2480
APPENDIX
Hospital St Vincent’s Hospital Bathurst

Wingham and District War Tel. 6620 2100 Fax. 6621 7088
Memorial Hospital New England AHS Business hours 8.30am – 5.00pm
PO Box 83 Monday to Friday
Mid Western AHS Tamworth 2340 Chief Executive Officer
PO Box 143
Tel. 6768 3222 Fax. 6766 6638 Chris Crawford
Bathurst 2795
Business hours 8.00am – 5.00pm Local Government Areas
Tel. 6339 5500 Fax. 6339 5521
Monday to Friday Cities of Grafton and Lismore,
Chief Executive Officer Municipality of Casino, Shires
Monday to Friday
Stuart Schneider of Ballina, Byron, Copmanhurst,
Chief Executive Officer Kyogle, Maclean, Pristine
Dr George Bearham Waters,Tweed, Richmond River
92
Public Hospitals Moruya District Hospital The Children’s Hospital

Ballina District Hospital Murrumburrah-Harden at Westmead
Byron District Hospital District Hospital Hawkesbury Road
Campbell (Coraki) Hospital Pambula District Hospital Westmead NSW 2145
Casino and District Memorial Queanbeyan Hospital Tel. 9845 0000 Fax. 9845 3489
Hospital (including Bonalbo Yass District Hospital Business hours 8.30am – 5.00pm
Subsidiary) Young District Hospital Monday to Friday
Grafton Base Hospital Hospital: 24 hour service
Affiliated Health Organisations
Kyogle Memorial Hospital
Mercy Care Centre,Young Chief Executive Officer
Lismore Base Hospital
St John of God Hospital, Professor Kim Oates
(including Nimbin Subsidiary)
Goulburn
Maclean District Hospital
Mullumbimby and District War Ambulance Service
Memorial Hospital of NSW
Murwillumbah District Hospital Balmain Road
The Tweed Hospital Rozelle NSW 2039
Urbenville and District (Locked Bag 105 Rozelle, 2039)
Multi-Purpose Service Tel. 9320 7777 Fax. 9320 7800
4
Southern AHS Business hours 9.00am – 5.00pm
PO Box 1845 Monday to Friday
Queanbeyan 2620 Chief Executive Officer
Tel. 6299 6199 Fax. 6299 6363 Greg Rochford
Business hours 8.30am – 5.30pm Corrections Health Service
Monday to Friday Long Bay Hospital
Chief Executive Officer Long Bay Correctional Complex
Dr Denise Robinson Anzac Parade
Local Government Areas Malabar NSW 2036
Cities of Goulburn and Tel. 9289 2977 Fax. 9311 3005
Queanbeyan, Shires of Bega Business hours 8.00am – 5.30pm
Valley, Bombala, Boorowa, Monday to Friday
Cooma-Monaro, Crookwell, Chief Executive Officer
Eurobodalla, Gunning, Harden, Dr Richard Matthews
Mulwaree, Snowy River,
Tallaganda,Yarrowlumla, Statewide Health Service
Yass,Young includes:
APPENDIX
Correctional Centres
Public Hospitals Correctional Centre Release
Batemans Bay District Hospital Treatment Scheme
Bega District Hospital Court Liaison Program
Bombala Hospital Drug Court Program
Boorowa District Hospital Long Bay Hospital
Braidwood Multi-Purpose Police/Court Complexes
Service Statewide Mental Health
Cooma Hospital Directorate
Crookwell District Hospital
Delegate Multi-Purpose Service
Goulburn Health Service
Kenmore District Hospital
93
Map of rural Area Health Services
● Lismore
Northern Rivers
6
7
1 Far West
New England
4
Tamworth ●
Mid North Coast
Macquarie
3 ● Port Macquarie
● Broken Hill ● Dubbo

5
ITAN
Mid Western
POL
Bathurst
TRO
●
ME
Greater Murray 8
Wagga Wagga ●
5
● Queanbeyan
Southern
1 Far West AHS 4 Mid North Coast AHS 7 Northern Rivers AHS
Tel. (08) 8080 1333 Tel. 6588 2949 Fax. 6588 2942 Tel. 6620 2100 Fax. 6621 7088
Fax. (08) 8080 1682 Local Government Areas Local Government Areas
Local Government Areas Cities of Coffs Harbour and Greater Cities of Grafton and Lismore,
City of Broken Hill, Shires of Taree, Municipality of Hastings, Municipality of Casino, Shires of
Balranald, Brewarrina, Bourke, Shires of Bellingen, Great Lakes, Ballina, Byron, Copmanhurst,
Central Darling,Wentworth, Gloucester, Kempsey, Nambucca Kyogle, Maclean, Pristine Waters,
Walgett, Unincorporated Area Tweed, Richmond
5 Mid Western AHS
2 Greater Murray AHS 8 Southern AHS
Tel. 6339 5500 Fax. 6339 5521
Tel. 6933 9185 Fax. 6933 9188 Local Government Areas Tel. 6299 6199 Fax. 6299 6363
Local Government Areas Cities of Bathurst, Greater Lithgow Local Government Areas
Albury, Berrigan Bland, Carrathool, and Orange, Shires of Blayney, Cities of Goulburn and
APPENDIX
Conargo, Coolamon, Cootamundra, Cabonne, Cowra, Evans, Queanbeyan, Shires of Bega Valley,
Corowa, Culcairn, Deniliquin, Forbes, Lachlan, Oberon, Parkes, Bombala, Boorowa, Cooma-Monaro,
Griffith, Gundagai, Hay, Holbrook, Rylstone,Weddin Crookwell, Eurobodalla, Gunning,
Hume, Jerilderie, Junee, Leeton, Harden, Mulwaree, Snowy River,
Lockhart, Murray, Murrumbidgee, 6 New England AHS Tallaganda,Yarrowlumla,Yass,Young
Narrandera,Temora,Tumbarumba, Tel. 6768 3222 Fax. 6766 6638
Tumut, Urana,Wagga Wagga, Local Government Areas Statewide services
Wakool, Windouran
Cities of Armidale-Dumaresq
Ambulance Service of NSW
3 Macquarie AHS and Tamworth, Municipalities
of Glen Innes, Shires of Barraba, Tel. 9320 7777 Fax. 9320 7800
Tel. 6841 2222 Fax. 6841 2225 Bingara, Boggabri, Gunnedah, Corrections Health Service
Local Government Areas Guyra, Inverell, Manilla, Moree Tel. 9289 2977 Fax. 9311 3005
City of Dubbo, Shire of Bogon, Plains, Narrabri, Nundle, Parry,
Cobar, Coolah, Connabarabran, Quirindi, Severn,Tenterfield, The Children’s Hospital
Coonamble, Gilgandra, Mudgee, Uralla,Walcha,Yallaroi at Westmead
Narromine,Warren,Wellington Tel. 9845 0000 Fax. 9845 3489
94
Map of metropolitan Area Health Services
3
Hunter
Wentworth 8 1 Central Coast
Western Sydney 9 5 Northern Sydney
2
6 Central Sydney
South Western Sydney 7
4
South East Health
5
Illawarra
1 Central Coast AHS 4 Illawarra AHS 7 South Western Sydney AHS

Tel. 4320 2111 Fax. 4325 0566 Tel. 4275 5111 Fax. 4276 1447 Tel. 9828 5700 Fax. 9828 5704
Local Government Areas Local Government Areas Local Government Areas
Gosford,Wyong Kiama, Shellharbour, Shoalhaven, Bankstown, Camden, Campbelltown,
Wollongong Fairfield, Liverpool,Wollondilly,
2 Central Sydney AHS Wingecarribee
5 Northern Sydney AHS
APPENDIX
Tel. 9515 9600 Fax. 9515 9611
Tel. 9926 8418 Fax. 9926 6025 8 Wentworth AHS
Ashfield, Burwood, Canterbury, Local Government Areas Tel. 4734 2120 Fax. 4734 3734
Canada Bay, Leichhardt, Hornsby, Hunters Hill, Ku-ring-gai, Local Government Areas
Marrickville, Strathfield, parts of Lane Cove, Manly, Mosman, Blue Mountains, Hawkesbury,
Sydney and South Sydney North Sydney, Ryde,Warringah, Penrith
Willoughby, Pittwater
3 Hunter AHS 9 Western Sydney AHS
Tel. 4921 4960 Fax. 4921 4969 6 South East Health
Tel. 9845 7000 Fax. 9689 2041
Local Government Areas Tel. 9947 9898 Fax. 9947 9891 Local Government Areas
Cessnock, Dungog, Lake Macquarie, Local Government Areas Auburn, Baulkham Hills,
Maitland, Merriwa, Murrurundi, Sydney City (part),Woollahra, Blacktown, Holroyd, Parramatta
Muswellbrook, Newcastle, Port Waverley, South Sydney (part),
Stephens, Scone, Singleton Randwick, Botany, Rockdale,
Kogarah, Hurstville, Sutherland
95
Selected data for Area Health Services
A Key performance indicators for NSW Public Hospital Services for the year ended 30 June 2002
State summary – all programs by Area Health Service
Average Length
of Stay (days) 3
Admissions Admissions Daily Same Day Overall, Average Expenses
reclassified adj. for Average as % including Non-Admitted Emergency Average Bed Staff (Accrual
to non- reclass- of of Total Same Day Overnight Caseflow Patient Department Available Occupancy Employed Basis)
Area Admissions1 inpatient9 ificaton Inpatients2 Admissions Admissions Acute Rate4 Services5 Attendances6 Beds Rate (%)7 (EFT)8 ($'000)
Central Sydney 130,525 15,661 146,186 1,505 48.9 4.3 6.8 78.3 1,546,527 94,555 1,628 92.4 8,296 809,532
Northern Sydney 102,853 6,766 109,619 1,614 41.0 5.9 6.1 55.7 1,846,197 122,317 1,819 90.3 7,598 743,632
Western Sydney 131,039 9,404 140,443 1,591 46.2 4.6 5.6 75.6 2,322,192 110,496 1,733 91.8 8,924 867,304
Wentworth 50,845 8,617 59,462 594 28.5 5.1 5.2 65.2 589,599 56,409 639 93.0 2,799 316,791
South Western Sydney 133,425 10,630 144,055 1,647 39.0 4.7 5.1 68.6 1,986,121 165,442 1,827 90.1 7,391 734,387
Central Coast 68,500 3,736 72,236 685 45.4 3.7 5.8 94.4 941,992 85,589 701 97.7 3,043 299,974
Hunter 105,955 23,464 129,419 1,750 38.1 6.1 5.4 52.6 1,521,524 152,845 2,000 88.8 6,921 655,450
Illawarra 74,059 3,638 77,697 733 48.4 3.8 5.6 93.5 1,047,436 111,383 750 97.8 3,552 362,617
South Eastern Sydney 169,651 21,811 191,462 2,103 44.9 4.7 6.1 73.1 3,238,805 193,915 2,215 95.0 11,328 1,106,968
TOTAL Metropolitan 966,852 103,725 1,070,577 12,223 43.1 4.8 5.8 69.9 15,040,392 1,092,951 13,312 92.2 59,852 5,896,655
Northern Rivers 63,917 3,097 67,014 662 35.8 4.1 4.8 73.6 880,527 182,652 797 83.0 2,986 306,538
Mid North Coast 53,167 13,682 66,849 503 34.5 4.5 4.9 67.6 771,768 99,605 606 82.9 2,184 282,350
New England 44,768 1,363 46,131 561 34.7 4.7 4.7 56.1 509,917 111,833 763 73.6 2,242 227,445
6
Macquarie 27,630 0 27,630 422 30.7 5.7 4.3 44.8 336,651 70,502 587 72.0 1,476 145,936
Mid Western 43,610 4,327 47,937 679 34.9 5.8 4.5 45.4 624,239 112,762 915 73.6 2,591 243,156
Far West 11,068 1,229 12,297 139 35.6 4.7 4.3 45.5 260,871 51,822 236 58.6 768 94,018
Greater Murray 52,354 5,397 57,751 854 31.5 6.1 4.5 45.2 685,501 146,006 1,121 76.2 2,807 300,225
Southern 32,328 0 32,328 605 28.7 7.0 4.7 38.7 593,280 88,268 795 76.2 2,081 228,153
TOTAL Rural Areas 328,842 29,095 357,937 4,425 33.5 5.3 4.6 51.9 4,662,754 863,450 5,819 75.9 17,135 1,827,821
Corrections Health 1,487 0 1,487 130 0.0 32.2 10.1 10.3 2,419,480 0 144 90.4 475 46,163
The Children's Hospital
26,222 2,332 28,554 224 46.4 3.1 5.2 109.9 506,594 43,719 239 93.8 1,956 198,931
at Westmead
TOTAL Other 27,709 2,332 30,041 354 43.9 4.7 5.7 72.4 2,926,074 43,719 383 92.5 2,431 245,094
TOTAL NSW 1,323,403 135,152 1,458,555 17,002 40.7 4.9 5.4 64.6 22,629,220 2,000,120 19,513 87.4 79,418 7,969,570
2000/01 Total 1,320,415 106,728 1,427,143 17,141 39.7 5.0 5.3 63.0 20,475,350 1,778,822 19,720 86.7 77,946 7,502,353
1999/00 Total 1,312,977 85,383 1,398,360 17,357 39.2 5.1 5.2 61.6 22,061,519 1,671,981 20,258 85.7 77,580 7,149,924
1998/99 Total 1,347,774 64,037 1,411,811 17,958 39.2 5.1 5.3 59.9 21,419,883 1,446,082 21,222 84.7 78,327 6,871,445
1997/98 Total 1,346,041 42,691 1,388,732 18,407 38.7 5.2 5.4 57.6 21,868,193 1,716,239 21,965 83.8 77,878 5,967,899
1996/97 Total 1,315,198 21,346 1,336,544 18,663 37.6 5.4 5.5 55.1 21,144,518 1,629,261 22,496 83.0 76,412 5,446,171
1995/96 Total 1,328,195 - 1,328,195 19,442 35.6 5.6 5.6 53.3 20,810,160 1,617,009 23,536 82.5 75,951 5,249,302
1994/95 Total 1,273,963 - 1,273,963 19,701 33.8 5.9 - 50.4 20,188,780 1,565,043 23,910 82.4 74,432 4,910,477
1993/94 Total 1,239,711 - 1,239,711 20,011 31.9 6.1 - 48.1 19,283,498 1,615,212 24,425 81.9 73,782 4,631,361
APPENDIX
1 Includes services contracted to private sector.

2 Daily average of inpatients = (Total occupied bed days excluding Unqualified baby bed days)/365.
3 Average length of stay = (Total occupied bed days)/(Number of separations).
4 Caseflow rate = (Total admissions including Same Day Admissions excluding Private Contracted Admissions and Unqualified Babies)/(Available Beds).
5 From 1 July 2001, the Commonwealth's requirements changed, and in order to satisfy both the Commonwealth and NSW Treasury, reporting by provider type was
introduced. Some non-admitted patients see more than one care provider and receive care from each. In the past this care had not been separately enumerated.
Most of the observed increase is due to this additional counting and more complete data collection coverage.
6 The counts of Emergency Department attendances for 2001-02 are based on WebDOHRS and EDIS data. As such the number of attendances for 2001-02 are not
comparable with previous years. EDIS data was used for metropolitan Areas except Hunter and Illawarra. The actual increase in metropolitan Emergency Department
attendances over 2000-01 is 0.6%, not the 18% implied. Most rural Areas and Illawarra, use data from WebDOHRS. Comparison of these counts should only be made
with caution. It was not possible to use a single counting method for Hunter, Northern Rivers, Macquarie and Greater Murray. The counts for these Areas are a mixture
of DOHRS and EDIS data.
7 Bed occupancy = (Total occupied bed days including Same Day Bed Days excluding Unqualified Baby Bed Days)/(Number of Available Days).
8 Equivalent full time, excludes overtime hours and includes SP&T staff from 1996-97 onward.
9 Estimated number of admissions reclassified to non-inpatients over the last five years.
Source: DOHRS as at 16th July 2002. Non-admitted Patient Services, DOHRS and WebDOHRS 14th November 2002.
96
Selected data for Area Health Services
B Average number of available beds in public hospitals and nursing homes by

Area Health Service for the year ended 30 June 2002
General Nursing Community

Area Hospital Units Home Units Residential Other Units Total Beds
Central Sydney 1,364 0 9 255 1,628

Northern Sydney 1,397 90 163 170 1,819
Western Sydney 1,273 65 147 248 1,733
Wentworth 530 88 21 0 639
South Western Sydney 1,543 194 91 0 1,827
Central Coast 685 0 16 0 701
Hunter 1,321 457 16 206 2,000
Illawarra 740 0 10 0 750
South Eastern Sydney 2,033 177 0 5 2,215
TOTAL Metropolitan 10,886 1,071 471 885 13,312
Northern Rivers 769 10 0 18 797

Mid North Coast 544 36 16 11 606
New England 738 25 0 0 763
6
Macquarie 437 100 13 37 587
Mid Western 633 84 33 165 915
Far West 236 0 0 0 236
Greater Murray 983 66 31 42 1,121
Southern 537 106 64 88 795
TOTAL Rural Areas 4,877 426 156 360 5,819
Corrections Health 0 0 0 144 144

The Children's Hospital at Westmead 239 0 0 0 239
TOTAL Other 239 0 0 144 383
TOTAL NSW 16,001 1,497 627 1,245 19,513
2000/01 Total 16,098 1,580 696 1,346 19,720

1999/00 Total 16,469 1,612 663 1,514 20,258
1998/99 Total 17,187 1,806 686 1,543 21,222
1997/98 Total 17,765 1,933 654 1,614 21,965
1996/97 Total 18,157 2,101 569 1,669 22,496
1995/96 Total 19,017 2,149 528 1,843 23,536
1994/95 Total 19,020 2,406 492 1,992 23,910
1993/94 Total 19,170 2,659 402 2,194 24,425
APPENDIX
Source: DOHRS as at 7 August 2002
97
Emergency Department performance
by Area Health Service*
TRIAGE 1 TRIAGE 2 TRIAGE 3 TRIAGE 4 TRIAGE 5

Immediately Imminently Potentially
Life Life Life Potentially Less Access
Threatening Threatening Threatening Serious Urgent Block 2
% not admitted
Number of % treated in % treated in % treated in % treated in % treated in 8 hrs after active
Area Health Service attendances 2 minutes 10 minutes 30 minutes 60 minutes 120 minutes treatment starts

43,719 100 100 46 35 73 23
at Westmead
Central Sydney 94,555 100 73 41 46 77 39
Northern Sydney 122,317 100 74 64 67 86 40
Western Sydney 110,496 100 83 44 46 79 41
Wentworth 56,409 100 74 44 60 90 39
South Western Sydney 165,442 100 93 57 61 88 20
Central Coast 85,589 100 54 35 42 78 16
Hunter 128,584 100 77 65 59 92 25
Illawarra 93,105 100 79 70 69 87 31
South Eastern Sydney 193,915 100 75 51 53 84 43
TOTAL Metropolitan 1,094,131 100 76 53 56 83 33
7
Northern Rivers 55,893 100 84 63 71 91 10
Mid North Coast 67,545 100 76 64 63 86 8
New England 3
35,788 100 74 67 64 86 1
Macquarie 29,296 99 84 71 70 91 9
Mid Western 63,436 100 95 87 89 97 5
Far West 19,005 100 97 84 83 93 1
Greater Murray 76,016 100 85 81 80 84 13
Southern 15,437 95 77 68 78 95 1
TOTAL Rural 362,416 100 82 71 75 90 8
TOTAL 2001/02 1,456,547 100 78 57 60 86 27
TOTAL 2000/01 1,441,595 100 73 58 62 86 24

TOTAL 1999/00 1,371,512 99 76 63 67 89 21
TOTAL 1998/99 1,381,937 97 78 64 67 89 18
TOTAL 1997/98 1,305,845 97 75 66 69 91 17
TOTAL 1996/97 1,240,460 92 73 68 73 93 15
1 From July 2001, waiting time for triage performance is calculated as the time elapsed between triage and commencement of active
treatment. Commencement of active treatment is defined as the earlier of nurse seen time and doctor seen time.
2 Time between commencement of active treatment and actual departure is used in access block calculation. From July 2001, access
APPENDIX
block is the proportion of admitted patients not moved to a hospital ward within eight hours from commencement of active treatment.
3 Includes an adjustment for data for Tamworth, July 2001.
* Note the Source is: Emergency Department Data Collection (EDDC). The EDDC includes 51 hospitals with an Emergency Department
classified to level 3 or above. Most hospitals in Metropolitan Area Health Services are included in the EDDC.
Source: Emergency Department Data Collection, 2002
98
Private hospital activity levels
Licensed Total Same Day Daily Bed

Beds Admissions Admissions Average Occupancy
% % % % % %
variation variation variation variation variation variation
on last Market on last on last Market on last on last on last
Area Health Service Number Number year Share % 1 year Number year Share % 1 year Number year %2 year
Central Sydney 400 53,720 7.6 29.2 5.2 41,440 9.9 39.4 2.9 354 1.6 76.8 4.7
Northern Sydney 1,628 178,021 10.3 63.5 5.0 109,799 13.8 72.4 4.5 1,554 4.5 90.4 5.5
Western Sydney 440 55,921 10.9 29.9 7.1 33,118 11.1 35.3 5.8 360 1.2 73.6 10.8
Wentworth 3 353 25,059 10.1 36.4 7.1 10,424 5.2 44.6 1.4 258 -0.1 73.1 10.5
South Western Sydney 234 30,740 0.3 18.7 0.2 20,838 -0.7 28.6 -3.3 164 -16.0 63.0 2.6
Central Coast 304 27,061 10.4 28.3 5.2 14,755 11.8 32.2 2.0 252 11.8 82.8 10.7
Hunter 558 58,312 9.1 39.7 20.2 33,340 7.7 51.6 22.7 446 7.6 76.4 -6.2
Illawarra 278 34,512 11.6 32.1 5.6 21,661 13.6 38.1 3.4 253 5.4 80.7 4.6
South Eastern Sydney 1,192 141,886 7.2 45.9 3.4 86,540 9.7 54.0 4.0 1,003 2.5 76.1 -0.3
TOTAL Metropolitan 1 5,387 605,232 8.8 38.5 6.5 371,915 10.4 47.3 5.4 4,642 3.2 80.1 3.7
Northern Rivers 109 18,463 4.9 22.7 0.9 14,042 5.9 38.7 -0.4 103 1.7 75.8 -2.8
Mid North Coast 4
432 38,210 10.9 47.4 0.5 17,964 16.6 53.1 -4.6 351 10.9 78.3 5.7
8
New England 90 6,749 -3.8 13.3 -3.0 3,041 -2.1 16.6 -2.8 58 -2.7 63.9 -1.7
Macquarie 58 4,778 10.0 14.7 10.5 2,891 10.9 25.4 8.5 30 8.5 50.9 8.5
Mid Western 116 9,824 2.6 18.4 2.4 5,257 3.7 25.7 -0.9 78 -0.1 65.8 0.1
Greater Murray 184 27,477 4.3 34.5 4.1 17,109 5.1 51.2 1.1 168 1.1 73.8 -2.2
Southern 3 1,711 15.5 5.0 15.1 1,603 8.2 14.7 -0.5 5 14.6 156.1 n.a.
TOTAL Rural Areas 992 107,212 6.3 25.3 4.0 61,907 8.2 36.7 0.8 791 5.2 73.0 2.5
TOTAL NSW 1
6,379 712,444 8.4 35.7 6.1 433,822 10.0 45.4 4.6 5,433 3.4 79.0 3.5
1 Market share calculations include The Children's Hospital at Westmead in the metropolitan Areas, Far West in the rural Areas and both
in total NSW. Private hospital market share includes public admissions contracted to private sector.
2 Bed occupancy rate in the private hospitals cannot be compared directly with that in the public hospitals as it is based on licensed beds
rather than available beds.
3 Includes Hawkesbury Private Hospital.
4 Includes Port Macquarie Base Hospital.
Source: DOHRS as at 7 August 2002 APPENDIX
99
Hospital statistics for the state of NSW 2000-01
The following data is provided under the Commonwealth/NSW Medicare Agreement under Part 1 of Schedule J.
Note: due to changes in reporting requirements to the Commonwealth, this data is based on separations of service and not admissions.
Data for 2001-02 was unavailable at the time of printing and will be reported at a later date.
Weighted
Weighted Day Day
Separations Separations Separations Separations Bed days
A. RECOGNISED HOSPITALS (excluding Public Patients under contract to private facilities)

Total Recognised Hospitals
Public Patients 1,010,447 1,065,044 425,701 201,443 4,147,454
Private Patients 144,301 169,761 55,462 25,801 622,351
Other Private Patients 55,451 71,778 21,446 9,574 351,557
Compensable Patients 13,491 20,273 3,900 2,537 68,259
Medicare Ineligible Patients 8,941 11,113 2,681 1,266 35,714
Residential Aged Care – Other 354 588 1 – 64,267
Public Patient Election – Overseas Reciprocal 2,250 2,431 632 340 7,942
Other 186 258 73 75 7,518
TOTAL Recognised Hospitals 1,235,421 1,341,246 509,896 241,038 5,305,062
B i) PRIVATE HOSPITAL FACILITIES (excluding Private Day Hospital facilities)

Public Patients 18,280 19,392 4,794 2,771 75,267
Private Patients 442,367 431,068 227,636 112,067 1,383,998
Ineligible Patients 1,843 2,638 592 341 6,715
9
Public Patient Election – Overseas Reciprocal 3 8 – – 34
Other 1 – 1 – 1
TOTAL Private Hospital Facilities 518,203 523,445 255,782 127,457 1,733,375
ii) PRIVATE DAY HOSPITAL FACILITIES

Public Patients 3,443 3,546 3,443 3,546 3,443
Private Patients 125,983 61,360 123,470 60,475 125,983
Ineligible Patients 1,347 532 1,347 532 1,347
Public Patient Election – Overseas Reciprocal 1 1 1 1 1
Other 4 2 4 2 4
TOTAL Private Day Hospital Facilities 139,845 71,407 137,118 70,443 139,845
iii) TOTAL PRIVATE HOSPITAL FACILITIES

Public Patients 21,723 22,938 8,237 6,317 78,710
Ineligible Patients 3,190 3,170 1,939 873 8,062
Public Patient Election – Overseas Reciprocal 4 9 1 1 35
Other 5 2 5 2 5
TOTAL Private Hospital Facilities 658,048 594,852 392,900 197,901 1,873,220
C. TOTAL STATE
Public Patients 1,032,170 1,087,982 433,938 207,760 4,226,164
APPENDIX

Ineligible Patients 12,131 14,283 4,620 2,139 43,776
Residential Aged Care – Other 354 588 1 – 64,267
Public Patient Election – Overseas Reciprocal 2,254 2,440 633 340 7,977
Other 191 260 78 77 7,523
TOTAL FOR STATE 1,893,469 1,936,099 902,796 438,938 7,178,282
D. OTHER SERVICES (non-inpatients occasions of service) 1
Outpatient Services Emergency Department

Diagnostic Services 1,860,363 Casualty and Emergency Services 1,778,293
Other Medical/Surgical 4,279,484 Diagnostic services 1,468,453
Mental Health Services 1,046,019 Community Health Services
Drug and Alcohol Services 1,171,666 Community Health 2,590,931
Dental Services 696,744 Outreach Services 135,194
Pharmacy Services 676,046 Group Services 251,204
Group Services 440,105
Rehabilitation Services
Rehabilitation Individual Services 2,455,917
1 Data extracted from DOHRS
Group Services 81,807
100
Three year comparison of key items of expenditure
2002 2001 2000 Increase/decrease

(%) compared to
% Total % Total % Total previous year
$000 Expense $000 Expense $000 Expense 2002 2001
Employee Related Expenses

Salaries and Wages 3,822,022 47.69 3,618,908 48.21 3,531,939 49.10 5.61 2.46
Long Service Leave 116,344 1.45 106,582 1.42 103,160 1.44 9.16 3.32
Annual Leave 366,425 4.57 344,932 4.60 337,848 4.70 6.23 2.10
Workers Comp. Insurance 153,858 1.92 136,227 1.82 161,755 2.25 12.94 -15.78
Superannuation 363,507 4.54 331,834 4.42 295,995 4.12 9.54 12.11
Other Operating Expenses

Food Supplies 69,063 0.86 64,077 0.85 63,870 0.89 7.78 0.32
Drug Supplies 276,718 3.45 255,946 3.41 246,257 3.42 8.12 3.93
Medical and Surgical Supplies 346,715 4.33 313,342 4.17 293,287 4.08 10.65 6.84
Special Service Departments 150,595 1.88 133,691 1.78 125,305 1.74 12.64 6.69
Fuel, Light and Power 56,304 0.70 54,368 0.72 52,100 0.72 3.56 4.35
Domestic Charges 83,467 1.04 79,963 1.07 77,575 1.08 4.38 3.08
Other Sundry/General
742,000 9.26 685,082 9.13 586,591 8.15 8.31 16.79
Operating Expenses *
10
Visiting Medical Officers 320,271 4.00 292,358 3.90 290,923 4.04 9.55 0.49
Maintenance 220,662 2.75 197,815 2.64 193,508 2.69 11.55 2.23
Depreciation 337,988 4.22 315,558 4.20 304,821 4.24 7.11 3.52
Grants and Subsidies
Payments to Third Schedule 433,402 5.40 437,811 5.83 411,959 5.73 -1.01 6.28
and other Contracted Hospitals
Other Grant Payments 146,111 1.82 127,752 1.70 105,288 1.46 14.37 21.34
Finance Costs 9,352 0.12 9,824 0.13 11,113 0.15 -4.80 -11.60
TOTAL EXPENSES 8,014,804 7,506,070 7,193,294 6.78 4.35
* Includes Cross Border Charges, Insurance, Rental Expenses, Postal Expenses, Rates and Charges and Motor Vehicle Expenses.
Source: Audited Financial Statements 2001-02 and 2000-01
APPENDIX
101
Capital Works programs
Capital Works completed during 2001-02
Type of project
1 New Hospital/facility on a greenfields site 6 Nursing Homes
2 Community Health Centre 7 Capital Equipment
3 Multi-Purpose Service/Rural Health Service 8 Aboriginal Health
4 Redevelopment (new constructions) 9 Research
5 Upgrades (of existing hospitals, includes refurbishments)
Total Total
cost Date cost Date
Capital Works $M completed Capital Works $M completed
Ambulance Service of NSW Mid North Coast AHS

1 Bowral Ambulance Station Collocation 0.6 July 2001 1 Coffs Harbour Hospital Redevelopment 79.8 October 2001
1 Tanilba Bay New Ambulance Station 0.5 September 2001 4 Manning Hospital Redevelopment
1 Coffs Harbour Ambulance Collocation 1.3 January 2002 (Lower North Coast Strategy) 33.1 October 2001
4 Taree Mental Health Unit 4.0 December 2001
Central Coast AHS
1 Central Coast Detoxification Unit 3.1 April 2002 Mid Western AHS
1 Wyong Hospital Cancer Care Unit 1.1 September 2001 4 Grenfell MPS 4.1 November 2001
8 Eleanor Duncan Aboriginal Medical Service 0.5 April 2002 7 Prevention/Management of Violence 0.3 June 2002
5 Mandala Mental Health Unit 0.5 June 2002 7 Rural Hospital and Health Service
2 Wyong Central CHC (formerly Tuggerah) 3.4 May 2002 Equipment Supplementation 0.2 June 2002
11
Central Sydney AHS Children's Hospital at Westmead
7 Royal Prince Alfred Hospital 7 Prevention/Management of Violence 0.3 June 2002
Replace Linear Accelerator 0.6 June 2002 7 Replacement Biplane Cardiac Catheter Lab 2.2 June 2002
7 Prevention/Management of Violence 0.7 June 2002
New England AHS
5 United Dental Hospital 0.8 June 2002
5 Armidale Hospital Maternity Accommodation 0.4 September 2001
Far West AHS 5 Banksia Inpatient Unit 1.8 June 2002
3 Wilcannia MPS 4.1 March 2002 5 Quirindi Hospital Emergency Relocation 0.5 June 2002
Northern Rivers AHS
7 Rural Hospital and Health Service
5 Ballina Hospital Emergency Upgrade 0.5 June 2002
Equipment Supplementation 0.3 June 2002
5 Grafton Community Health Services 0.5 June 2002
Greater Murray AHS 5 Lismore Rural Accommodation 0.4 June 2002
3 Jerilderie Hospital and Health Service 2.8 June 2002 7 NRAHS Surgical Instruments Sterilisation 0.5 September 2001
3 Holbrook Hospital and Health Service 2.8 May 2002 5 Northern Rivers Food Production Unit 2.1 June 2002
3 Coolamon Hospital and Health Service 0.7 December 2001 5 Relocate Community Health Centre to
5 Griffith Maternity 0.1 November 2001 Aruma Hostel 0.5 October 2001
Southern AHS
Hunter AHS 7 Goulburn Sterilising 0.5 June 2002
5 Rankin Park Refurbishment 6.1 May 2002 5 Queanbeyan Ward Relocation 0.4 June 2002
6 St Joseph's Nursing Home Sandgate 7.7 August 2001
South Eastern Sydney AHS
4 John Hunter Pathology 17.3 December 2001
1,5 Calvary Hospital Redevelopment 20.1 November 2001
7 John Hunter Replace Angiography
Equipment 1.4 January 2002 South Western Sydney AHS
APPENDIX
1 Lowrey Lodge Parentcraft/Detoxification 1.5 April 2002 1 Campbelltown Hospital Adolescent

5 Prevention/Management of Violence 0.3 June 2002 Unit/Day Care Centre 3.2 October 2001
8 Aboriginal Health 0.1 June 2002 4,7 SWSAHS Radiotherapy/Oncology 13.8 June 2002
Illawarra AHS
5 Liverpool PET Scanner 2.0 June 2002
7 Shoalhaven Ultrasound 0.4 June 2002
7 Rural Hospital and Health Service Wentworth AHS
Equipment Supplementation 0.4 June 2002 5 Nepean Hospital Stage 2 68.3 November 2001
7 Illawarra Regional Hospital Clinical 7 Prevention/Management of Violence 0.3 June 2002
Services Block 58.1 June 2002 1 Wentworth Detox Unit 3.7 March 2002
Macquarie AHS Western Sydney AHS

7 Prevention/Management of Violence 0.2 June 2002 7 Prevention/Management of Violence 0.6 June 2002
7 Rural Hospital and Health Service 5 Emergency Departments 0.2 June 2002
Equipment Supplementation 0.5 June 2002
TOTAL COST 363.3
102
Capital Works in progress during 2001-02
Estimated Estimated
Total Cost Total Cost
Capital Works $M Capital Works $M
Ambulance Service of NSW South Eastern Sydney AHS

Ambulance Strategy – Stage 1 18.304 Prince Henry Hospital Site Redevelopment 5.237
Queanbeyan Ambulance Station Relocation 0.800 Prince of Wales Mood Disorders Unit 3.200
South West Rocks New Ambulance Station 0.425 Prince of Wales Neurological Sciences 1.407
Prince of Wales Spinal Injuries Research 1.000
Central Coast AHS Prince of Wales Spinal Medical & Rehabilitation Services 21.354
Central Coast Area Health Service Strategy 11.467 St George Hospital Procedural Centre 6.400
Central Coast Mental Health Strategy 10.085 Sutherland Hospital Redevelopment 82.985
Gosford Child & Family Health 1.352
South Western Sydney AHS
Central Sydney AHS Fairfield & Liverpool Community Mental Health Services 3.366
Central Sydney Area Resource Transition Program 396.921 Liverpool Intensive Management Unit 1.600
Heart Research Institute 4.500 Macarthur Sector Strategy 102.667
Corrections Health Service
Southern AHS
Residential Halfway House – Long Bay Prison Complex 0.400
Bega Hospital Upgrade Electrical/Hydraulics 0.700
Hunter AHS
Western Sydney AHS
Hunter Strategy Stage 1 12.600
Neonatal Emergency Transport Service 6.483
John Hunter Hospital Child & Adolescent Unit 3.140
11
NSW Breast Cancer Institute 3.821
Illawarra AHS Westmead Hospital Procedural Centre 6.000
Illawarra Area Health Service Strategy Stage 2 109.277 DNA Testing – Division of Analytical Laboratories 1.825
Coledale Hospital Upgrade 3.300
Wentworth AHS
Macquarie AHS Blue Mountains Acute Inpatient Unit 4.000
Dubbo Acute Psychiatric Inpatient Unit 4.060 Blue Mountains Hospital Hydrotherapy 1.087
Dubbo Hospital Redevelopment 19.650 Governor Phillip Hospital Upgrade 7.400
WAHS Renal Unit 0.900
Mid North Coast AHS
Kempsey Hospital Mental Health Unit 2.550 Various
Clinical Networks program 1.856
Mid Western AHS DPWS Risk Management Services 2.509
Bloomfield Hospital Clinical Working Areas 0.786 Information Management & Technology Strategy Stage 2 10.950
Information Management & Technology Strategy Stage 3 1.500
New England AHS
NEAHS Food Service Rationalisation 1.104
NEAHS Food Production Unit 2.120
Asset Maintenance Management System 7.061
Tamworth Hospital Emergency 3.700
Prevention Management of Violence 7.500
Northern Sydney AHS Rural Accommodation 3.000
Royal North Shore Hospital Lifts 2.000 Rural Equipment 12.985
Royal North Shore Hospital Redevelopment 36.360 Statewide Planning & Asset Maintenance 5.571
Ryde Health Services 3.050 Rural Hospital and Health Service Program/Phase 1 57.980
Institute of Magnetic Resonance Imaging Research 1.750 RAHC Gene Vector/Transgenic 5.000
Relocate Mental Health Tribunal 1.950
Northern Rivers AHS
APPENDIX
Tweed Heads Stage 3 Redevelopment 36.200
TOTAL ESTIMATED COST 1,081.746
103
New Capital Works introduced during 2001-02
Estimated
Total Cost
Capital Works $M
Ambulance Service of NSW

Ambulance Infrastructure 46.650
South Eastern Sydney AHS

Prince of Wales Parkes Block 7.000
South Western Sydney AHS

Cabramatta Anti-Drug Strategy 1.200
Central Coast AHS

Central Coast Health Access Plan – Gosford Hospital 113.524
Central Coast Health Access Plan – Wyong Hospital 82.400
Central Coast Health Access Plan – Mental Health 10.085
Hunter AHS
Newcastle Strategy 235.000
Western Sydney AHS

Western Sydney Strategy 178.500
11
Southern AHS
Young and Mercy Collocation 15.000
Various
Mental Health Phase 2B 25.090
Patient Administration System 90.000
Rural Information Technology Infrastructure 7.000
State Electronic Health Record 19.400
TOTAL Estimated Cost 830.849
Note: $M total cost as approved in 2001-2002
Property disposals Management of heritage issues

● Five major property disposals were During 2001-02 the Department developed
completed in 2001-02. a draft Policy for the Statewide Management
of Moveable Heritage and has commenced
● Cash payments from the disposal of
action on the Thematic History of NSW Health
surplus properties totalled $55.2M
to cover the period to 2002.
in 2001-02.
A Conservation Management Plan for the
● All properties disposed of in 2001-02
former Gladesville Hospital was completed
were sold in accordance with
APPENDIX
and endorsed by the Heritage Office.

government policy.
104
Funding grants
made by the NSW Department of Health
Research and development infrastructure grants

The NSW Infrastructure Grants Program is a three-year competitive grants program which provides funding for infrastructure
to health and medical research organisations in NSW. The program consists of three funding streams. Stream 1 funding is allocated
to large independent research institutes. Stream 2 funding is allocated to well established research institutes/organisations.
Stream 3 funding is allocated to public health research organisations.
The specific objectives of the Infrastructure Grants Program are to:
● provide infrastructure funding on a fair and equitable basis for outstanding state-wide research organisations
● align this funding with NSW health system priorities
● ensure that research organisations which receive funds comply with accountability requirements
● promote the dissemination and application of research results.
Grant recipient Amount $ Research focus of the organisation
Anzac Health and Medical Research 442,400 Health Research in the areas of lifestyle and ageing.
Australian Centre for Agricultural Health and Safety 200,000 Research on agriculture and production systems safety, farm injury,
farm population health and rural health.
Australian Centre for Health Promotion 100,000 Research into the effectiveness of health promotion practices.
CanSur 80,000 Research into pancreatic cancer.
Centenary Institute of Cancer Medicine and 1,400,000 Immunology research into cancer, infection, allergy and autoimmune
Cell Biology diseases.
12
Centre for Education and Research on Ageing (CERA) 200,000 Research into ageing process and disorders of ageing.
Centre for Family Health and Midwifery 70,000 Research to improve the health of families.
Centre for Health Economics and Research 200,000 Research into the economic issues of health services policy.
Evaluation (CHERE)
Centre for Health Equity Training Research and 100,000 Research into equity and social health issues.
Evaluation (CHETRE)
Centre for Health Service Development 100,000 Research into health services delivery and management.
Centre for Hospital Management and Information 70,000 Research into the costing of health services and design of health
Systems Research information systems.
Centre for Immunology 560,870 Research into diagnosis and treatment of diseases of the immune
system eg asthma, allergy, HIV/AIDS.
Centre for Nursing and Health Services Research 70,000 Research on health service delivery.
Centre for Perinatal Services Research 70,000 Research into healthcare of mothers and infants.
Centre for Thrombosis and Vascular Research 586,780 Research into the causation of treatment of blockages of blood
vessels.
Children’s Cancer Institute Australia 310,700 Research into childhood cancer.
Children’s Medical Research Institute 1,135,000 Research into childhood disease and disability.
CRC for Asthma 264,556 Research into asthma prevention, asthma treatment including the
quality use of medications, diagnostic, delivery and monitoring devices.
Garvan Institute of Medical Research 3,168,500 Research on cancer, diabetes, osteoporosis, arthritis and obesity.
APPENDIX
Heart Research Institute 680,800 Research into heart disease, particularly atherosclerosis.
Hunter Medical Research Institute 950,100 Research all areas of public health.
Institute for International Health 249,700 Developing global health sector reform.
Institute of Dental Research 200,000 Research into diagnosis, treatment and prevention of caries
periodontal diseases.
Institute of Health Research 80,000 Health services research and public health research.
Institute of Magnetic Resonance Research 618,300 Research into the use of magnetic resonance for the detection,
diagnosis and treatment of human diseases.
Institute of Respiratory Medicine 561,200 Research into causes, treatment and prevention of respiratory
diseases eg asthma, sudden infant death syndrome, sleep disorders.
Kolling Institute of Medical Research 548,300 Research into the mechanisms of cell growth and communication
with application on diseases such as diabetes and cancer.
Macarthur Community-based Health Collaboration 70,000 Research on models for community health and ambulatory and
transitional care service delivery.
Melanoma and Skin Cancer Research Institute 438,544 Research into prevention and treatment of melanoma.
105
Funding grants
Research and development infrastructure grants (continued)
Grant recipient Amount $ Research focus of the organisation
Newcastle Institute of Public Health 230,000 Public health and health services research.
Northern Rivers Institute of Public Health 70,000 Public health research.
Nursing and Health Research Council 70,000 Research in the conduct of multi-site and multi-disciplinary research,
and nursing workforce.
Prince of Wales Medical Research Institute 1,390,400 Research on brain and nervous system including Parkinson's and
Alzheimer’s disease.
Save Sight Institute 396,300 Research on age-related eye disease.
The Effective Healthcare Consortium 200,000 Promote effective healthcare through the development, dissemination
and implementation of science-based health policy and practice.
The Gilmore Centre for Health Improvement 70,000 Rural health research.
Victor Chang Cardiac Research Institute 894,500 Research into the cause, diagnosis and treatment of cardiovascular
disease.
Westmead Millennium Institute 1,357,770 Research on genetic, molecular and cellular basis of virus infections,
the immune response, cancer and liver diseases.
18,204,720
12
APPENDIX
106
Funding grants
Other grants
Grant recipient Amount $ Purpose
Ageing and Disability 1,035,000 Develop and Implement Care for Carers Cross Agency Action
Plan 2001-03.
Ageing and Disability 120,000 Contribution to Early Childhood Intervention Program.
Aids Council of NSW 8,759 Hepatitis A Campaign costs.
Alcohol and Other Drugs CNC 1,500 Sponsorship conference, November 2001.
Alison Hunter Memorial Foundation 15,000 International clinical and scientific meeting.
Alliance of NSW 15,000 Contribution: ANSWD Vital Links 2001 State Forum.
Alliance of NSW Divisions of General Practice 153,636 Improved mental health education and training support for
general practitioners.
Alzheimers Association 1,818 Cultures in the Workplace Report.
Association of Australian Rural Nurses 5,000 Association of Australian Rural Nurses 10th Conference.
Attorney Generals Department 31,828 Contribution to ongoing development of National Coroners
Information Systems.
Attorney Generals Department 620,950 Contribution to Violence against Women Strategy.
Attorney Generals Department 256,573 Drug Crime Diversion Unit (MERIT Program).
12
Australian College of Health Service 49,026 Subsidy for health planning and management library and
Management internet catalogue.
Australian Catholic University 5,000 Research Project – Critical Window for Healthy Behaviour in Children.
Australian Institute of Political Science 15,000 Contribution to NSW Tall Poppy Campaign.
Australian Medical Association 144,545 Cosmetic Surgery Credentialling Council.
Black Dog Foundation 3,200,000 Redevelopment of site for Mood Disorder Unit.
Bourke Aboriginal Health Service 270,000 Develop Bourke Aboriginal Community Health Centre.
Cabinet Office 100,000 Develop website portal.
Cabinet Office 15,000 3rd International Conference – drugs, young people.
Canberra Hospital 10,000 Health Outcomes Conference Secretariat.
Carers NSW 427,430 Training and support for carers, Carers mental health consortium
and develop training package, emotional and counselling
support programs.
Centre Epidemiology and Information Technology 10,000 Sponsorship Health Outcomes 2002: Current Challenges and
Future Frontiers.
Core Institute USA 7,051 Drug Survey Form composition.
Corrective Services Department 1,399,912 Drug and alcohol workers in prison.
Curtin University of Technology 5,000 Alcohol and related Violence in NSW Project.
Department of Community Services 73,761 Staff Development Program.
Department of Education and Training 30,000 Contribution to Primary Connect.
APPENDIX
Department of Education and Training 130,000 Schools as community centres.
Department of Education and Training 74,000 Officer employed for Youth Drug Court Program.
Department of Human Services Melbourne 5,399 Communicable Diseases Network Australia Laboratory Infection
Containment Project.
Department of Health and Aged Care 92,868 National Organ Matching Service and Australian Donate contribution.
Department of Health and Aged Care 275,201 Australian Childhood Immunisation Register.
Department of Human Services Adelaide 482,820 NSW Contribution to AHMAC budget.
Department of Human Services Melbourne 5,399 Contribution to Communicable Diseases Network Australia Project
proposals.
Department of Human Services South Australia 35,427 Medical Indemnity and E Commerce.
Department of Human Services South Australia 5,026 AHMAC meeting, October 2001.
Department of Human Services South Australia 16,055 Working Group on Care of Older Australia.
Department of Human Services South Australia 30,366 National Health Workforce Committee.
Forbes Shire Council 16,619 Fluoridation Capital Works.
107
Funding grants
Other grants (continued)
Goulburn City Council 3,000 Community Building for Safe Community Project.
Health and Aged Care Service 10,000 Contribution for Strategic Inter-Governmental Nutrition
Alliance (SIGNAL).
Heart Research Institute 1,000,000 Extension of Heart Research Institute facilities at Camperdown.
Human Services Department SA 168,500 Australian Health Care Agreement Reference Groups.
International Clinical Trials Symposium 25,000 Gold Sponsorship.
International Society Development 6,000 Funding of the 'International Society for Development
Neuroscience Neuroscience' Sydney meeting.
Kidsafe NSW 75,000 Funding for Executive Officer and support of Kidsafe NSW.
Local Government and Shires Association of NSW 123,000 Contribution to Food Business Notification System.
Manly Council 5,000 2003 Child Safety Calendar and multicultural child water
safety project.
Mens Health and Wellbeing Association Of NSW 1,000 Tune-Up Program Grant.
Metroscreen Ltd 98,000 Documentary Play Now/Act Now project.
Mid North Coast General Practice 38,000 Nambucca Valley Post Natal Depression Support Group.
12
Music NSW 135,000 Play Now/Act Now Project.
National Heart Foundation 3,160 Develop Heart Moves Plan.
Network of Alcohol and Other Drugs 5,000 Sponsorship NADA Drug and Alcohol Conference.
Network of Alcohol and Other Drugs 15,375 Infrastructure Project grant.
Neuroscience Institute 1,000,000 Funding to Research Schizophrenia and Allied Disorders.
Northern Sydney AHS 58,840 Funding for NSW Safe Communities Project Officer.
Northern Sydney AHS 200,000 BIOHUB Funding.
NSW Bureau of Crime Statistics 95,000 Research on alcohol related crime.
NSW Cancer Council 1,350,000 NSW Pap Test Register.
NSW Cancer Council 10,000 Sponsorship for Eat and Run Conference.
NSW Cancer Council 181,818 Management of the NSW Skin Cancer Control Project 2001-02.
NSW Cancer Council 100,000 Cancer Epidemiology Research Unit.
NSW Cancer Council 151,000 Thyroid Cancer project.
NSW Cancer Council 905,800 NSW Cancer Registry and employ re-engineering staff.
NSW Consumer Advisory Group 6,000 Fund Consumer Advisory Group Representative – Ms L Manns.
NSW Department of Aboriginal Affairs 1,818 Yarn up 2 sponsorship and Growing Up Our Leader’s conference.
NSW Department of Housing 99,485 Funding for Executive Director Human Services CEOs Group.
NSW Department of Housing 10,000 Taskforce on Priority Regional Communities.
NSW Department of Sport and Recreation 250,000 Local Government Grants Program.
APPENDIX
NSW Fire Brigade Sydney 28,750 Funding for developing a sustainable model for expanding
safe communities study.
NSW Institute of Psychiatry 1,627,556 Grant to NSW Institute of Psychiatry.
NSW Police Service 340,000 National Drug Strategy.
NSW Rural Doctors Network 190,000 Coordination of overseas recruitment.
NSW School Canteen 70,000 NSW School Canteen Association.
NSW Therapeutic Assessment 173,700 NSW Therapeutic Assessment Group (TAG).
Office of Western Sydney 19,000 Grants for Westmead Biomedical Business Plan.
Oolong House 112,920 Merit Residential Drug and Alcohol Treatment.
Pedestrian Council of Australia 25,000 Walk to Work Day.
Pharmacy Guild of Australia 90,909 Pharmacy Liaison Officer Program.
Premiers Department 250,000 Rural Frontline Staff Drug and Alcohol Training Project.
Prince of Wales Medical Research Institute 1,000,000 Grant to Spinal Injuries Research Centre.
108
Funding grants
Other grants (continued)
Public Health Association 3,400 Sponsorship for 2002 Public Health Impact Award.
Royal Australian and New Zealand College of 10,000 Domestic Violence Workshop.
Obstetricians and Gynaecologists
Royal Australian College of Physicians 5,455 Assist specialist trainees to attend the RACP NSW State Committee
Forum.
Royal Australasian College of Surgeons 250,000 East Collaborative Health Training Education Centre.
Rural Health Workshop Payments 223,357 Various Rural Workshop payments.
Streetwize 33,636 Funding for Aboriginal comic.
Sydney Institute of Technology 43,181 Grant for Orthotics/Prosthetics Program, the provision of orthotics/
prosthetics, and develop training material.
Ted Noffs Foundation 10,000 Sponsorship for Ted Noffs Award.
University of Newcastle 31,189 Redevelopment of Remote X-ray Operators Licensing Course.
University of Newcastle 18,344 NSW Cardiac Care Study.
University of Newcastle 40,000 Hunter Health Statistics Data.
University of Newcastle 697 CADEMS Program.
12
University of NSW 299,824 Falls Research Project, Review of Injury Risk Management,
Grant for Centre for Physical Activity and Health, Sydney BIOHUB
– CRI Consultancy.
University of NSW Hospital Management 118,182 Research agenda in Multicultural Health.
and Information
University of NSW Hospital Management 120,000 Funding for Research Mood Disorders.
and Information
University of NSW Hospital Management 500,000 Injury Risk Management and Research Centre.
and Information
University of NSW Hospital Management 600,000 Quarterly report payments.
and Information
University of Sydney 62,783 Brain Injury Outcome Study.
University of Sydney 25,000 Sponsorship for International Clinical Trials Symposium.
University of Sydney 4,632 Outstanding vegetables kit cost.
University of Sydney 209,757 Contribution to NSW Centre for Public Health and Nutrition.
University of Sydney 100,000 Saline VS Albumin Fluid Evaluation Study.
University of Sydney 68,882 Review and Clinical Guidelines in physiotherapy.
University of Sydney 90,000 Evaluation of the Safe Community Program.
University of Sydney 37,500 CADEMS Program.
University of Sydney 119,584 Pharmacotherapies Accreditation.
University of Technology – Nursing 80,000 Development Manager employment contribution.
APPENDIX
University of Western Sydney 319,440 Men’s Health Information and Resource Centre Annual Grant,
study into factors influencing health status of boys and men,
Men’s Healthweek grant, Engaging Men in the Health System Project.
Warringah Shire Council 4,000 Safe Party Kit Project.
Wentworth AHS 35,169 Initial funding for diabetes pilot.
Western Sydney AHS 5,197 Additional funding for the Pram Walking Program.
Western Sydney AHS 30,945 Four post mortem trolleys.
Western Sydney AHS 322,500 Strengthening Support for the Rural Womens Project.
23,077,253
109
Non-government organisations
funded by the NSW Department of Health
Program
48.1 Ambulatory, Primary and (General) Community Based Services
48.1.2 Aboriginal Health Services
Aboriginal Health
Grant recipient Amount $ Focus of the organisation
Aboriginal Medical Service Co-op Ltd $231,700 Preventative Health Care and Drug and Alcohol services, Family
Health Strategy services for the Aboriginal community in the Sydney
inner city area and a one-off grant for dental services.
Aboriginal Health and Medical Research $701,300 Peak body advising state and federal governments on Aboriginal
Council of NSW health matters and supporting Aboriginal community-controlled
health initiatives.
Armidale and District Services Inc $531,600 Dental services and education for Aboriginal communities in the
New England and north west NSW areas.
Australian College of Health Service Executives $80,000 Coordinator for Australian Aboriginal Trainee Health Service
Management Program 2 year project 2001-02 to 2002-03.
Awabakal Newcastle Aboriginal Co-op Ltd $215,346 Preventative health care, drug and alcohol and dental services for
the Aboriginal community in the Newcastle area.
Biripi Aboriginal Corporation Medical Centre $179,550 Preventative health care, drug and alcohol, dental and Family Health
Strategy services for the Aboriginal community in the Taree area.
13
Bourke Aboriginal Health Service Ltd $118,300 Preventative and primary health care, health screening and education
programs, drug and alcohol services for Aborigines in Bourke and
surrounding areas.
Brewarrina Aboriginal Health Centre Ltd $30,300 Drug and alcohol services for the Aboriginal community in the
Brewarrina district.
Bulgarr Ngaru Medical Aboriginal Corporation $202,400 Dental Health Best Practice Project for the Aboriginal community in
the Grafton area and Otitis Media coordinator.
Centacare Wilcannia-Forbes $109,800 One-off grant under the Aboriginal Family Health Strategy for the
prevention of violence and supporting positive family relationships
in Narromine and Bourke.
Cummeragunja Housing and Development $63,300 Preventative health services for the Aboriginal community in the
Aboriginal Corporation Moama/Echuca area.
Daruk Aboriginal Community Controlled $213,900 Dental, preventative health care and drug and alcohol services for
Medical Service Co-op Ltd Aboriginal community in the Sydney Western Metropolitan area.
Deniliquin Council for Social Development Inc $63,400 Develop an Aboriginal Family Health Strategy best practice model
to increase Aboriginal community access to services dealing with
family violence, child protection and sexual assault.
Grace Cottage Inc $65,300 Family Health strategy services involving individual and group
counselling, educational workshops and training.
Durri Aboriginal Corporation Medical Service $413,300 Preventative health, drug and alcohol services and the Dental Health
Best Practice Project for the Aboriginal communities in the Kempsey
area. Aboriginal Family Health Strategy grant for the Goorie Galbans
Aboriginal Family Intervention Program.
APPENDIX
Forster Local Aboriginal Lands Council $30,850 Aboriginal Family Health Strategy services for the prevention and
management of violence within Aboriginal families.
Goorie Galbans Aboriginal Corporation $68,600 Aboriginal family health strategy services.
Gudu Wondjer (Sea Women) Aboriginal Corporation $65,300 Safe house and support services for families fleeing from domestic
violence.
Illaroo Cooperative Aboriginal Corporation $20,050 Personal care worker for the Rose Mumbler Retirement Village.
Illawarra Aboriginal Medical Service $473,800 Dental, preventative health care, drug and alcohol services for the
Aboriginal community in the Illawarra area, and a one off grant for a
vascular health demonstration site project.
Katungul Aboriginal Corporation Community $221,400 Dental Health Best Practice Project and an Otitis Media coordinator.
and Medical Services
MDEA and Nureen Aboriginal Women’s $36,400 Counselling and support service for Koori women and children in
Cooperative stress from domestic violence.
Munjuwa Queanbeyan Aboriginal Corporation $132,693 Drug and Alcohol Project.
Namatjira Haven Bundjalung Tribal Society Ltd $44,900 One-off grant for replacement of a bus for the residential substance
abuse rehabilitation service.
110
Ngadrii Ngalli Way Inc (My Mother’s Way) $63,400 AFHS funding.
Bourke Family Support Service
Ngaimpe Aboriginal Corporation $55,000 Grant for drug and alcohol treatment centre for men in the Central
Coast area and NSW.
Orana Haven Aboriginal Corporation $55,000 Drug and alcohol services for the Aboriginal community in Brewarrina.
(Rehabilitation Centre)
Riverina Medical and Dental Aboriginal $708,000 Preventative health care, dental services, Otitis Media Program and
Corporation coordinator and Aboriginal Family Health Strategy, to develop and
implement family health education programs for the Aboriginal
community in the south western area.
South Coast Medical Service Aboriginal Corporation $81,000 Preventative health care and drug and alcohol services for the
Aboriginal community in the Nowra area.
Tharawal Aboriginal Corporation $206,100 Dental, preventative health care and drug and alcohol services for
the Aboriginal community in the Campbelltown area.
Oolong Aboriginal Corporation Inc $87,300 Drug and alcohol residential treatment services for Aboriginal clients.
Walgett Aboriginal Medical Service Co-op Ltd $221,000 Preventative health care, drug and alcohol services and Family
Health Strategy services for the Aboriginal community in Walgett
and surrounding areas.
WAMINDA (South Coast Women’s Health $63,400 Aboriginal Family Health Strategy grant to develop an education and
and Welfare Aboriginal Corp) training program for Aboriginal Community Workers, covering family
violence, sexual assault and child abuse issues.
13
Weigelli Centre Aboriginal Corporation $56,300 Grant for drug and alcohol counselling and retraining and education
programs for Aboriginal people in the Cowra area.
Wellington Aboriginal Corporation Health Service $227,650 Drug and alcohol services and youth and Family Health Strategy
services for the Aboriginal community in Wellington.
Yerin Aboriginal Health Services Inc $229,721 Health and medical services both at the Centre and on an outreach
basis and Family Health Strategy services for Aboriginal people in
the Wyong area.
Yoorana Gunya Aboriginal Family Violence $96,200 Aboriginal Family Health Strategy Project.
Healing Centre Aboriginal Corporation
TOTAL $6,463,560
Program
48.1.1 Primary and Community Based Services
AIDS
APPENDIX
Aboriginal Medical Service Co-operative Ltd $226,500 HIV/sexual health community education and counselling service for
the local Aboriginal community and statewide where appropriate.
Statewide distribution of condoms via Aboriginal Medical Services.
Includes enhancement funding for a sexual health service
coordinator, part time carers for HIV affected clients with complex
mental health needs and for a non-recurrent HIV/AIDS health
promotion demonstration project.
Aboriginal Health and Medical Research $138,200 Advice on the AIDS Strategy for Aboriginal communities in NSW.
Council of NSW Conduct of AIDS conferences. Development of an HIV/AIDS Aboriginal
health worker education kit. One-off for Hepatitis C project and
recurrent enhancement for the coordinator distant learning package.
AIDS Council of NSW Inc $6,490,570 Community-based education, prevention and support services for
HIV infected people and those at high risk. Includes the Sex Worker
Outreach Project (SWOP) and a number of one-off projects and the
non-recurrent HIV/AIDS health promotion demonstration project .
Australasian College of Sexual Health $20,000 One-off grant for the Development of Clinical Guidelines for the
Physicians Inc Management of Sexually Transmissible Infections among Priority
Population in Primary Care Settings project.
111
Australian Research Centre in Sex, Health and $12,500 A non-recurrent HIV/AIDS health promotion demonstration project.
Society
Australasian Society for HIV Medicine Inc $60,000 One-off grant for the Strengthening Prevention Efforts in Primary
Care Settings Project.
Awabakal Newcastle Aboriginal Co-op Ltd $48,150 HIV/sexual health awareness project for the local Aboriginal
community.
Biripi Aboriginal Corporation Medical Centre $48,800 HIV/sexual health education project for Aboriginal communities in
the mid north coast to north coast area of NSW.
Bourke Aboriginal Health Service Ltd $48,800 HIV/sexual health awareness project for the Aboriginal communities
of Bourke, Brewarrina and Engonnia.
Bulgarr Ngaru Medical Aboriginal Corporation $48,800 HIV/sexual health education project for Aboriginal communities in
the mid north coast area of NSW.
Coomealla Health Aboriginal Corporation $23,750 Aboriginal HIV/sexual health project.
Daruk Aboriginal Community Controlled $23,750 HIV/AIDS/sexual health education program and needle/syringe
Medical Service Co-op Ltd exchange service for Aboriginal communities in the western Sydney
and Wentworth areas.
Diabetes Australia – NSW $1,192,000 Provision of free needles and syringes to registrants of the National
Diabetic Services Scheme, resident in NSW.
Durri Aboriginal Corporation Medical Service $60,800 HIV/sexual health education project for Aboriginal communities in
the north coast area of NSW, and a non recurrent HIV/AIDS health
13
promotion demonstration project.
Hepatitis C Council of NSW $765,400 Information, support, referral and prevention services for people
affected by Hepatitis C and Commonwealth three year project
funding to improve coordination and service delivery for people
affected or at risk of contracting Hep C.
Katungul Aboriginal Corporation Community $48,800 HIV/sexual health education and support project for Aboriginal
and Medical Services communities in the Ulladulla/Eden area of the south coast.
National centre in HIV Epidemiology and $36,100 Non recurrent HIV/AIDS health promotion demonstration projects.
Clinical Research
National Drug and Alcohol Research Centre $49,843 A non-recurrent HIV/AIDS health promotion demonstration project.
National Centre in HIV Social Research $162,618 Contribution towards the costs of the Sydney Gay Community Cohort
Study, the Sydney Gay Community Periodic Survey, the Positive
Health Cohort Study, and non-recurrent HIV/AIDS health promotion
demonstration projects.
NSW Users and AIDS Association Inc $973,300 Community-based HIV/AIDS and Hepatitis C education, prevention
and harm reduction information and referral and support services
for illicit drug users.
Pharmacy Guild of Australia (NSW Branch) $1,956,724 Coordination of needle and syringe exchange scheme in retail
pharmacies throughout NSW.
Pius X Aboriginal Corporation $48,800 HIV/sexual health education and support service for the Aboriginal
community in the Moree area.
PLWHA (NSW) Inc $467,800 Community-based education, information and referral support
services for HIV infected people, and one-off and non-recurrent
HIV/AIDS health promotion demonstration projects.
APPENDIX
South Coast Medical Service Aboriginal $23,750 HIV/sexual health education and support project for the Shoalhaven
Corporation Aboriginal community.
Tharawal Aboriginal Corporation $23,750 HIV/sexual health education and support service for Aboriginal
communities in the Campbelltown area.
University of Newcastle $9,900 A non-recurrent HIV/AIDS health promotion demonstration project.
Walgett Aboriginal Medical Service Co-op Ltd $48,800 HIV/sexual health awareness project for the Walgett Aboriginal
community.
Wellington Aboriginal Corporation Health Service $48,800 Aboriginal HIV/AIDS/sexual health project.
TOTAL $13,107,005
112
Alternative Birthing Services

Durri Aboriginal Corporation Medical Service $101,600 Provision of outreach ante/postnatal services to Aboriginal women
in the Kempsey area.
Illawarra Aboriginal Medical Service $27,175 Provision of outreach ante/postnatal services to Aboriginal women
in the Illawarra area.
Tharawal Aboriginal Corporation $27,175 Provision of outreach ante/postnatal services to Aboriginal women
in the Campbelltown area.
Walgett Aboriginal Medical Service Co-op Ltd $101,600 Provision of outreach ante/postnatal services to Aboriginal women
in the Walgett area.
TOTAL $257,550
Community Services
13
Association of Australian Rural Nurses $5,000 Nursing Branch one-off grant for rural nurses conference.
Australian Association for the Welfare of $115,700 Information and advice on the non-medical needs of children and
Child Health Inc adolescents in the health care system for families, parents and
health professionals.
Greek Orthodox Community of NSW Ltd $13,636 One-off grant contribution towards the establishment of the Greek
Orthodox Community Home for the Aged.
Maitland Support Group Miscarriage, Stillbirth $5,000 One-off grant for the establishment of an administration centre for
and Neo-Natal Deaths the support service.
NSW Council of Social Service $142,000 Grant for policy development in the areas of consumer participation,
rural health, Health NGO’s, community care, intergovernmental
issues, promotion of non-acute services and employment of
a health policy officer.
NSW Association for Adolescent Health Inc $57,500 Provision of the policy on adolescent health and promotion of
adolescent health issues to the community and health professionals.
ProviCare Foundation $9,091 One-off grant contribution towards the establishment of national
drug and alcohol rehabilitation centres.
QMS (Quality Management Services) Inc $420,600 Implementation of the Standards and Accreditation Program in
NGOs in NSW.
St George Cancer Support Group $8,700 One-off grant to cover costs associated with group’s social worker
in providing support services for cancer sufferers and their families.
Sutherland Shire Suicide Safety Network $10,400 One-off grant for the development of a resource kit and directory for
suicide prevention/grief counselling.
APPENDIX
United Hospital Auxiliaries of NSW Inc $135,200 Coordination and central administration of the United Hospital
Auxiliaries spread throughout NSW.
TOTAL $922,827
113
Drug and Alcohol

Aboriginal Medical Service Co-op Ltd $650,580 Multi-purpose Drug and Alcohol Centre.
Department of Psychology Macquarie University $56,400 Specialist clinical studies courses on drug and alcohol dependence.
Hassela Australia $47,500 One-off grant for residential rehabilitation beds.
Kids Help Line Australia P/L $155,000 Kids Help Line, providing alcohol and other drug information,
counselling and referral to young people in NSW.
Life Education NSW – Mobiles and Centres $1,634,000 A health oriented audio visual program for primary school children.
Network of Alcohol and Other Drugs $249,000 Peak body for non-government organisations providing alcohol and
Agencies Inc other drug services.
National Drug and Alcohol Research Centre $145,797 Medically Supervised Injecting Centre trial evaluation.
(NDARC)
National Centre in HIV Epidemiology and $226,513 Medically Supervised Injecting Centre trial evaluation.
Clinical Research (NCHECR)
Oolong Aboriginal Corporation Inc $163,500 A residential drug and alcohol treatment and referral service for
Aboriginal people.
Pharmacy Guild of Australia (NSW Branch) $782,500 Pharmacy incentive scheme to encourage methadone dosing in
retail pharmacies in NSW.
QMS (Quality Management Services) Inc $191,200 Implementation of the Standards and Accreditation Program in
NGO’s in NSW.
13
Uniting Care NSW/ACT $2,333,333 Medically Supervised Injecting Centre trial.
Youth Action and Policy Association (YAPA) $62,500 Two year project grant for the Youth Sector AOD Drug Summit
Training Scheme.
TOTAL $6,697,823
Health Promotion
National Heart Foundation of Australia $133,400 Program to promote awareness of the benefits and current
(NSW Division) recommendations for moderate intensity physical activity among
General Practitioners (GP).
Restaurant and Catering Industry Association $9,091 One-off grant to promote safe food handling programs to the food
NSW service industry.
TOTAL $142,491
APPENDIX
Innovative Services for Homeless Youth
CHAIN – Community Health for Adolescents in $251,560 Preventative, early intervention and primary health care to young
Need, Inc homeless people and young people at risk of homelessness.
The Settlement Neighbourhood Centre $72,800 A program providing culturally appropriate camps and living skills
(Muralappi Program) activities for young Aboriginal people in and around Redfern.
TOTAL $324,360
114
Program
48.3.1 Mental Health Services
Mental Health
Aboriginal Medical Service Co-op Ltd $50,000 Two year Mental Health Worker Project for the Aboriginal
community in the Sydney inner city area.
Aboriginal Health and Medical Research $90,000 CFMH one-off grant for culturally appropriate suicide prevention
Council of NSW and mental health effects of the stolen generation.
Alliance of NSW $154,000 CFMH one-off grant for an education package for GP’s.
Australian Catholic University $19,753 CFMH one-off grant for clinical nurse educators to support student
placements in mental health.
Avondale College $9,424 CFMH one-off grant for clinical nurse educators to support student
placements in mental health.
Awabakal Newcastle Aboriginal Co-op Ltd $25,000 Two year Mental Health Worker Project for the Aboriginal
community in the Newcastle area.
Black Dog Foundation Inc $500,000 Recurrent funding for the Mental Health Program.
Bulgarr Ngaru Medical Aboriginal Corporation $50,000 Two year Mental Health Worker Project for the Aboriginal community.
13
Carers NSW Inc $410,000 CFMH one-off grant for training, support and counselling for carers
and Carer Mental Health Consortium.
Charles Sturt University $169,820 CFMH one-off grants to improve mental health nursing education,
recruitment, retention, and provide support for the mental health
and well-being of all nurses in NSW.
Coomealla Health Aboriginal Corporation $25,000 Two year Mental Health Worker Project for the Aboriginal community.
Cummeragunja Housing and Development $50,000 Two year Mental Health Worker Project for the Aboriginal community.
Aboriginal Corporation
Katungul Aboriginal Corporation Community $50,000 Two year Mental Health Worker Project for the Aboriginal community.
and Medical Services
Mental Illness Education – Aust (NSW) Inc $92,400 School-based Mental Health Awareness Program and Insight
Program to secondary schools (CFMH grant).
Mental Health Co-ordinating Council NSW $227,200 Peak organisation funded to support NGO sector efforts to provide
efficient and effective delivery of mental health services, plus a
one-off grant for a NGO Mental Health Conference and the
development of mental health standards.
NSW Consumer Advisory Group (CAG) $276,000 CFMH contribution to consumer and carer input into the mental
health policy making process, and a one-off grant to identify new
models to access the needs of young mental health consumers.
NSW Institute of Psychiatry $1,153,760 CFMH one-off grants for mental health education and training
initiatives.
NSW College of Nursing $110,625 CFMH one-off grant for strategies for promoting the welfare of
mental health nurses and students.
APPENDIX
Royal Australian and New Zealand College $450,000 CFMH one-off grant to develop and test models of special care suites
of Psychiatrists for the management of challenging behaviour in nursing homes.
South Coast Medical Service Aboriginal $25,000 Two year Mental Health Worker Project for the Aboriginal community.
Corporation
Southern Cross University $111,197 CFMH one-off grants to improve mental health nursing education,
recruitment, retention and provide support for the mental health and
well-being of all nurses in NSW.
St Vincent de Paul Society $35,000 CFMH one-off grant to develop and deliver a mental health training
package for Matthew Talbot Hostel staff.
St Vincent de Paul Society $150,000 Two year Mental Health Worker Project for Frederick House Aged
Care Services for Homeless Men.
St Vincent de Paul Society – Vincentian Village $143,000 Project funding for mental health workers at Vincentian Village, a
service for homeless people in the inner city area.
TAFE NSW $12,500 CFMH one-off grant to improve mental health nursing education,
Tharawal Aboriginal Corporation $25,000 Two year Mental Health Worker Project for the Aboriginal community.
115
The Peer Support Foundation Ltd $181,900 Social Skills Development Program, providing education and training
for youth, parents and teachers, in schools across the NSW.
Thubbo Aboriginal Medical Cooperative Ltd $25,000 Two year Mental Health Worker Project for the Aboriginal community.
University of Newcastle $189,573 CFMH grants for the establishment of the Centre for Rural and
Remote Mental Health and to improve mental health nursing
education, recruitment, retention and support for the mental health
and well-being of all nurses in NSW.
University of New England $84,102 CFMH one-off grants to improve mental health nursing education,
University of Sydney $244,267 CFMH one-off grants to improve mental health nursing education,
University of Technology, Sydney $153,493 CFMH one-off grants to improve mental health nursing education,
University of Western Sydney $286,609 CFMH one-off grants to improve mental health nursing education,
University of Wollongong $98,924 CFMH one-off grants to improve mental health nursing education,
13
Youth Accommodation Association $112,910 CFMH one-off grant to establish links between mental health services
and SAAP for homeless people with mental health problems.
TOTAL $5,826,457
Program
48.1.1 Primary and Community Based Services
National Women’s Health
Women’s Health NSW $20,000 One-off grant for a women’s health training program for NGO’s
in NSW.
APPENDIX
TOTAL $20,000
Palliative Care
Armidale and District Services Inc $30,000 Aboriginal dementia and palliative care consortia project.
Sydney Adventist Hospital $35,175 Enhancement of cancer support centre services to palliative care
clients and their carers.
TOTAL $65,175
116
Rural Doctors Services
NSW Rural Doctors Network – Cadetship $394,000 The Rural Medical Cadetship Program provides financial support for
medical undergraduates in exchange for their agreement to work
two years after graduation in rural NSW. The RDN plays a role in the
integration of this program with undergraduate vocational training
and postgraduate rural programs.
NSW Rural Doctors Network – Core $444,000 The Rural Doctors’ Network provides on-going support for rural and
remote general practitioners through provision of access to quality,
accredited continuing education and the development of professional
networks. The RDN supports recruitment and retention of general
practitioners and some other health professionals to rural and
remote NSW.
NSW Rural Doctors Network – Undergraduate $158,600 The Rural Medical Undergraduates Program coordinates and supports
undergraduate placements in rural hospitals and general practice,
and facilitates the implementation of undergraduate activities with
Universities and Rural Health Training Units.
TOTAL $996,600
Victims of Crime Support

13
ASCA – Mayumarri $51,500 Victims of crime support.
Dubbo/Wellington Domestic Violence $90,864 Victims of crime support.
Counselling Service
Enough is Enough $94,584 Victims of crime support.
Lifecare $10,064 Victims of crime support.
Mission Australia $45,994 Victims of crime support.
Nambucca Valley Children’s Group $52,382 Victims of crime support.
Wayside Chapel/The Station $56,041 Victims of crime support.
TOTAL $401,429
Women’s Health
APPENDIX
WAMINDA (South Coast Women’s Health $35,850 Clinical counselling and health education services for Aboriginal
and Welfare Aboriginal Corp) women and girls in the Shoalhaven area.
Women’s Health NSW $134,400 Peak body for the coordination of policy, planning, service delivery,
staff development, training, education and consultation between
non-government women’s health services, the Department and
other government and non-government services.
TOTAL $170,250
117
NSW Health accounts age analysis
Accounts receivable ageing as at 30 June 2002
2001-2002 2000-2001
Category $000 % $000 %
< 30 Days 39,208 82 15,025 61

30/60 Days 225 0 529 2
60/90 Days 406 1 212 1
> 90 Days 8,023 17 8,991 36
TOTAL 47,862 24,757
In 2001-02 the significant receivable balance in over 90 days is represented by $1.109M for Intra Health accounts and $4.16M
for Department of Veterans’ Affairs. Payment received in July 2002.
In 2000-01 the significant receivable balance in over 90 days is represented by $1.122M for Intra Health accounts and $7.033M
for Mortgage on the Children’s Hospital at Westmead settled 2002.
14
Accounts payable ageing as at 30 June 2002
Current Less than Between Between More than

(ie within 30 days 30 and 60 days 60 and 90 days 90 days
Quarter due date) $000 overdue $000 overdue $000 overdue $000 overdue $000
September 30,790 0 0 0 0
December 27,912 0 0 0 0
March 32,062 0 0 0 0
June 49,886 5 9 8,156* 33
*$8.154M relates to Cross Border charges payable to Queensland and Victoria Health for the quarter ended March 2002.
Payments were made in July 2002.
Total accounts paid on time Total amount paid

Quarter % $000 $000
September 2002 99.7 1,952,989 1,958,866

APPENDIX
December 2002 99.0 1,817,652 1,836,012

March 2002 98.5 1,598,551 1,622,894
June 2002 96.1 1,889,096 1,965,761
Source: Finance and Business Management.
118
{1} {2} {2} {3} {4} {5} {6}
Women’s Alternative Female Genital Cervical Breast National Drug National
HIV/Aids Health Birthing Mutilation Cancer Cancer Strategy Immunisation Grand Total
C’wealth State C’wealth State C’wealth State C’wealth State C’wealth State C’wealth State C’wealth State C’wealth State C’wealth State
Health Service $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s $000’s
NSW Health
Central Sydney 1,304 1,304 338 300 0 0 0 0 23 23 1,508 1,508 83 83 0 0 3,256 3,218
Northern Sydney 521 521 100 72 0 0 0 0 22 22 1,923 1,923 217 217 0 0 2,783 2,755
Western Sydney 521 521 240 296 0 0 200 0 26 26 2,385 2,385 93 93 0 0 3,465 3,321
Wentworth 312 312 32 57 0 0 0 0 22 22 0 0 112 112 0 0 478 503
South Western Sydney 417 417 140 75 0 0 0 0 25 25 0 0 327 327 0 0 909 844
Central Coast 52 52 104 57 0 0 0 0 21 21 0 0 89 89 0 0 266 219
Annual Report
Hunter 213 213 29 27 0 0 0 0 23 23 1,766 1,766 43 43 0 0 2,074 2,072
Illawarra 255 255 123 15 0 0 0 0 23 23 0 0 146 146 0 0 547 439
South Eastern Sydney 1,727 1,727 367 85 0 0 0 0 23 23 1,555 1,555 318 318 0 0 3,990 3,708
Northern Rivers 209 209 295 31 0 0 0 0 21 21 0 0 75 75 0 0 600 336
Mid North Coast 156 156 124 16 0 0 0 0 19 19 0 0 6 6 0 0 305 197
New England 104 104 123 15 0 0 0 0 20 20 470 470 3 3 0 0 720 612
Macquarie 52 52 61 68 0 0 0 0 25 25 0 0 120 120 0 0 258 265
Mid Western 26 26 73 75 0 0 0 0 23 23 687 687 31 31 0 0 840 842
Far Western 42 42 64 45 0 0 0 0 22 22 0 0 11 11 0 0 139 120
Greater Murray 42 42 56 52 0 0 0 0 34 34 0 0 3 3 0 0 135 131
2001-2002 Commonwealth/NSW contributions
Southern 42 42 102 95 0 0 0 0 25 25 0 0 28 28 0 0 197 190

Corrections Health 156 156 0 0 0 0 0 0 0 0 0 0 353 353 0 0 509 509
at Westmead 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 3 3
Total – AHS's/Corrections 6,151 6,151 2,371 1,381 0 0 200 0 397 397 10,294 10,294 2,061 2,061 0 0 21,474 20,284
Total – NGO 5,987 5,987 0 1,478 312 0 0 0 675 675 2,791 2,791 2,894 2,894 0 0 12,659 13,825
Total – Other 0 0 421 502 368 0 0 0 653 653 1,760 1,760 3,894 960 30,081 0 37,177 3,875
Public Health Outcome Funding Agreement
GRAND TOTAL 12,138 12,138 2,792 3,361 680 0 200 0 1,725 1,725 14,845 14,845 8,849 5,915 30,081 0 71,310 37,984
Note: Figures above do not include the use of rollovers from 2000-01. Figures also exclude the Social and Community Services Employees (state) Award increases on the state component of NGO grants for HIV/AIDS,
cervical cancer, breast cancer and the National Drug Strategy.
{1} State contributions in excess of the previous cost sharing arrangements are not included. {5} State NDS expenditure for drug education programs is provided directly by Department of Education and
{2} Program fully funded by the Commonwealth. Training and forms part of the state funded share of this Commonwealth program. In 2001–02 this
{3) NGO funding represents payments to The Cancer Council of NSW for management of the amounts to $2.134M.
NSW Pap Test Register. {6} Commonwealth funding is for purchase of vaccines on the National Health and Medical Research Council
{4} Funding is provided for BreastScreen NSW Screening and Assessment Services (SASs). Immunisation Schedule (NHMRC).
Each SAS provides services for more than one AHS.
119
15
APPENDIX
Acts administered by the NSW Minister
for Health and legislative changes
Acts administered by the ● Osteopaths Act 2001 No. 16 **

NSW Minister for Health ● Pharmacy Act 1964 No. 48
● Ambulance Services Act 1990 No. 16 ● Physiotherapists Registration Act 1945 No. 9
● Anatomy Act 1977 No. 126 ● Physiotherapists Act 2001 No. 67 *
● Benevolent Society of New South Wales Act ● Podiatrists Act 1989 No. 23
1902 No. 97 ● Poisons and Therapeutic Goods Act 1966 No. 31
● Centenary Institute of Cancer Medicine and ● Private Hospitals and Day Procedure Centres
Cell Biology Act 1985 No. 192
Act 1988 No. 123
● Chiropractors and Osteopaths Act 1991 No. 7
● Psychologists Act 1989 No. 51
● Chiropractors Act 2001 No. 15 **
● Psychologists Act 2001 No. 69 *
● Dental Practice Act 2001 No. 64 *
● Public Health Act 1991 No. 10
● Dental Technicians Registration Act 1975 No. 40
● Smoke-Free Environment Act 2000 No. 69
● Dentists Act 1989 No. 139
● Smoking Regulation Act 1997 No. 16
● Fluoridation of Public Water Supplies Act
● Sydney Hospital (Trust Property) Act 1984
1957 No. 58
No. 133
● Food Act 1989 No. 231
● Tobacco Advertising Prohibition Act 1991
16
● Garvan Institute of Medical Research Act No. 65
1984 No. 106
● Tuberculosis Act 1970 No. 18
● Gladesville Mental Hospital Cemetery Act * Uncommenced ** Partly commenced
1960 No. 45
● Health Administration Act 1982 No. 135 Legislative changes
● Health Care Complaints Act 1993 No. 105 New Acts
● Health Care Liability Act 2001 No. 42 Dental Practice Act 2002
● Health Professionals (Special Events Exemption) This Act provides for the registration of dentists
Act 1997 No. 90 and dental auxiliaries and repeals the Dentists
● Health Services Act 1997 No. 154 Act 1989.The object of the Act is to protect
● Human Tissue Act 1983 No. 164 the health and safety of members of the public
● Lunacy and Inebriates (Commonwealth by providing mechanisms to ensure that dentists
Agreement Ratification) Act 1937 No. 37 are fit to practise dentistry; dental auxiliaries
● Lunacy (Norfolk Island) Agreement are fit to carry out dental auxiliary activities;
Ratification Act 1943 No. 32 and dental students are fit to undertake dental
● Medical Practice Act 1992 No. 94 studies and clinical placements.
● Mental Health Act 1990 No. 9
Health Care Liability Act 2001
APPENDIX
● Mental Health (Commonwealth Agreement

This Act introduces limitations on awards of
Ratification) Amendment Act 1962 No. 14
damages against certain health care providers;
● New South Wales Cancer Council Act 1995
introduces mandatory cover for medical
No. 43
practitioners and a new regulatory framework
● New South Wales Institute of Psychiatry Act for medical indemnity providers.
1964 No. 44
● Notification of Births Act 1915 No. 4 Optometrists Act 2002
● Nurses Act 1991 No. 9 This Act provides for the registration of
● Nursing Homes Act 1988 No. 124 optometrists and repeals the Optometrists Act
● Optical Dispensers Act 1963 No. 35 1930.The object of the Act is to protect the
health and safety of members of the public
● Optometrists Act 1930 No. 20
by providing mechanisms to ensure that
● Optometrists Act 2002 No. 30 *
optometrists are fit to practise.
120
Acts administered by the NSW Minister
for Health and legislative changes
Physiotherapists Act 2001 ● Health Care Liability Amendment (Exemption)

This Act provides for the registration of Regulation 2002
physiotherapists and repeals the Physiotherapists ● Human Tissue Amendment (Designated
Registration Act 1945.The object of the Act Specialists) Regulation 2002
is to protect the health and safety of the public ● Mental Health Amendment (Interstate
by providing mechanisms to ensure that Patients) Regulation 2002
physiotherapists are fit to practise. ● Mental Health Amendment (Queensland
Patients) Regulation 2002
Psychologists Act 2001
● Nurses (General) Amendment Regulation 2001
This Act provides for the registration of
● Nursing Homes Amendment (Fees and Other
psychologists and repeals the Psychologists
Matters) Regulation 2001
Registration Act 1989.The object of the Act
is to protect the health and safety of the public ● Poisons and Therapeutic Goods Amendment
Regulation 2001
by providing mechanisms to ensure that
psychologists are fit to practise. ● Poisons and Therapeutic Goods Amendment
(Miscellaneous) Regulation 2001
Subordinate Legislation ● Poisons and Therapeutic Goods Amendment
(Suspension and Cancellation of Licences and
By-laws
16
Authorities) Regulation 2001
● Royal Society for the Welfare of Mothers and ● Private Hospitals and Day Procedure Centres
Babies By-law 2001 Amendment (Fee and Other Matters)
Regulation 2001
Orders
● Public Health Legislation Amendment (Fees)
● Insurance Approval Order under the Health
Regulation 2001
Care Liability Act 2001
● Insurance Regulation Order under the Significant judicial decisions
Health Care Liability Act 2001
Edwards v Blomeley [2002] NSWSC 460
Harriton v Stephens [2002] NSWSC 461
Regulations Waller v James [2002] NSWSC 462
The following new Regulations were made: On 12 June 2002, Justice Studdert of the
● Chiropractors Transitional Regulation 2002 Supreme Court, handed down his decision
● Health Care Liability Regulation 2001 in a test case involving three wrongful life
● Osteopaths Transitional Regulation 2002 claims. Justice Studdert had agreed to
determine the question of whether ‘wrongful
The following amendments to Regulations
life’ was a recognised cause of action.The Judge
were made:
found that the defendant doctors’ only duty
APPENDIX
● Chiropractors and Osteopaths Amendment was not to injure the plaintiffs, and that the
(Osteopathic Training) Regulation 2001 plaintiffs’ disabilities were not the result of
● Chiropractors and Osteopaths Amendment any breach of that duty. He did not accept
(Fees) Regulation 2002 that the doctors had a further duty to prevent
● Day Procedure Centres Amendment the plaintiffs’ conceptions.
(Licensing) Regulation 2001
Justice Studdert also found that there were
● Food Amendment Regulation 2001
weighty public policy considerations against the
● Food Amendment (Notifications) recognition of ‘wrongful life’, and that it would
Regulation 2002 be impossible to determine and assess damages
● Health Care Liability Amendment in respect of such claims.
Regulation 2002
121
Section 301 of the Mental Health Act
Information activities during 2001-2002 mainstream minimum datasets has been agreed
As required by the National Mental Health at a national level.
Information Development Agreement, A paper-based daily acute mental health bed
ambulatory data for mental health clients for surveillance system was replaced in April 2002
2000-01 was delivered to the Commonwealth by the web-based Mental Health Bed
by 31 December 2001. In preparing the data, Management System (MHBMS). Acute Mental
use was made of extraction processes to the Health Inpatient Units update the bed
HIE and allocation of state unique identifiers availability several times daily to facilitate
by the Client Data Linkage process. access to acute mental health beds across NSW.
Development of the extended ambulatory In time, this system will be extended to all
minimum data set to include mental health mental health beds.
service activity and related factors such
A census of all clients resident in mental health
as duration and activity type was begun and
facilities at 30 June 2002 was conducted.
a new extract designed and developed for
Data from the census, inpatient statistics and
the HIE.The upgrade of the Service Contact
NSMHS is combined to demonstrate inter-
Information Mental Health Outcomes and
area flows for mental health inpatient services.
Assessment Tools (SCI MH-OAT) system
17
to collect this data was also started. Data sources for the Annual Report
The MH-OAT initiative is now well All bed data and some of the activity data
established with 300 trainers. About 80 percent in the attached tables are based on a paper
of Area staff were trained by June 2002. About collection specifically for the 2001-02
50 percent of services reported that MH-OAT Annual Report from psychiatric hospitals
data was being collected.Training in the Child and co-located psychiatric units in general
and Adolescent MH-OAT protocols was hospitals.These data are combined with data
undertaken by child and adolescent mental on admissions, transfers and same-day
health workers. admissions from the Department of Health
Reporting System (DOHRS), where the
The SCI MH-OAT interim information system
facility can be identified in the DOHRS
was released in October 2001 to collect the
database. Data for 2000-01 are from the
MH-OAT data. It has since been upgraded to
2000-2001 Department of Health Annual
include other outcome measures for children
Report. Efforts are continuing to improve
and adolescents.The inclusion of the MH-OAT
identification of all mental health activity
data requirements in CHIME began.
through changes to the DOHRS system
The National Survey of Mental Health and hospital reporting practices.
Services (NSMHS), which is used to monitor
Reported bed numbers represent the
APPENDIX
the National Mental Health Strategy, was

availability for use on one particular day
repeated in October 2001 for 2000-01.
only (30 June) and do not indicate
There was no National Mental Health Report
general availability over the whole year.
released in 2000-01. Data for 1998-99 and
Available beds do not refer to empty beds
1999-00 will be reported in a combined
but to beds that can physically be used
National Mental Health Report for the first
and where there are staff to service them,
two years of the second National Mental
whether occupied or not. Beds may be
Health Plan, which will be released in
temporarily unavailable for occupancy due
October 2002. A process for inclusion of
to renovations or temporary lack of staff.
National Survey indicators into
122
Psychiatric hospitals With the exception of the Acute Adolescent

Over 2001-02 minor changes in stand-alone Unit at Redbank House and Gnakulun at
psychiatric hospitals resulted in an overall Campbelltown, child and adolescent units
increase in 20 beds. generally operate for only four out of five
weekdays, with special programs during
This increase was mainly due to an increase
school holidays.
of eight beds at Rozelle, four at Macquarie,
six at Cumberland and two at James Fletcher – Co-located gazetted units in general
Morisset Hospitals. A 22-bed inpatient unit hospitals and other units (child and
(Ward 24), opened at Rozelle Hospital in adolescent units not included)
June 2001, following the closure and Co-located bed numbers increased by nine
re-location of Ward 34 at Concord Hospital. beds from 792 in 2000-01, to 801 in 2001-02.
James Fletcher, Newcastle, reported only four Overall there has been a substantial decrease
available non-gazetted beds compared to in the number of non-gazetted beds from
14 in 2000/01. 79 reported for 2000-01, to 18 reported for
2001-02. However the decrease was mainly
As at 30 June 2002, the 1,041 beds in
due to the reporting of non-gazetted beds as
psychiatric hospitals were 88 percent
gazetted at Blacktown, Greenwich, Long Bay
17
occupied, with 922 patients in residence.
and Manly hospitals.
A further 44 patients were reported as being
on leave, resulting in 93 percent of beds Concord Hospital did not report any beds
being committed to current patients. Only due to closure of Ward 34. All Ward 34 patients
five percent of the patients were reported were transferred to Ward 24 at Rozelle.
to be on leave in all psychiatric hospitals Redevelopment at Concord Hospital will
compared to 10 percent in the previous include the construction of a new Mental
year (30 June 2001). Health Precinct.
Beds identified as drug and alcohol beds The reporting of mental health same-day
located on the campus of a psychiatric hospital admissions for Concord Hospital (where there
(Cumberland and Rozelle Hospitals) are not are no mental health beds), highlights the
available for the admission of psychiatric reason mental health reports the majority of
patients and are excluded from this report. same-day admissions as ambulatory rather than
inpatient care. (Ambulatory care is similar to
Child and adolescent units community day care.) Only when a same-day
In 2001-02, there was an overall increase admission involves a specific procedure, such
in the number of beds available in child as Electro Convulsive Therapy (ECT), is it
and adolescent units. Most of the increase regarded as an inpatient admission.
APPENDIX
was due to the opening of a 10-bed gazetted
Ward 2D of Bankstown Hospital reported
adolescent unit at Campbelltown Hospital,
10 non-gazetted beds for 2001-02, two less
called Gnakulun.This unit became operational
than 2000-01.
in October 2001. Rivendell reported two
extra available beds in 2001-02, and Coffs Harbour reported 18 beds for 2001-02
Redbank House at Westmead reported compared to 13 beds reported in 2000-01.
all its non-gazetted beds (17) to be available St George Pacific House reported three extra
in 2001-02. Non-gazetted beds at Redbank beds for 2001-02 compared to 2000-01.
House have increased from 14 in 2000-01 Pacific House now has 28 beds, two of which
to 17 in 2001-02. are non-gazetted, and six beds are allocated
for aged care.
123
Taree acute inpatient unit at Manning Base Private hospitals

reported a 10-bed gazetted unit for 2001-02. As for 2000-01, 13 private hospitals authorised
This unit became operational in December 2001. under the Mental Health Act provided inpatient
Kempsey District did not report any beds for and same day psychiatric services during
2001-02. A new 10-bed mental health unit has 2001-02.These hospitals reported 570
been commissioned at Kempsey District to available psychiatric beds as at 30 June 2002,
become operational in 2003. compared with 524 reported for 30 June 2001.
The increase of 46 available beds was due
In 2001-02, over the 12-month period, 20,489 to the availability of six beds at Evesham
overnight admissions occurred in all units, and 40 beds at Wentworth Private Hospitals.
a decrease of two percent from 2000-01. Concurrent with the increase in bed numbers,
Direct admissions alone do not reflect the overnight admissions in private hospitals also
true utilisation of the psychiatric units. As in increased by nine percent in 2001-02 to 7,822
2000-01, both admissions and transfers in have from 7,126 in 2000-01. Same-day admissions
been included to give a better indication of increased by 29 percent to 18,666 from 14,454
the actual utilisation of beds in co-located in 2000-01.This represents 58 percent of all
units.There were 8,216 same-day admissions same-day (both public and private) services
to public psychiatric units reported for provided by dedicated private psychiatric
17
2001-02 compared with 7,723 in 2000-01, inpatient units.
an increase of almost seven percent. A slight
decrease in overnight admissions coupled with Beds in Port Macquarie Base Hospital are
an increase in the number of reported beds public non-gazetted beds provided within
implies a shorter length of stay in these units. a private hospital.
Current occupant numbers were available for Public ambulatory mental health services
all reported units this year.There were 754 Based on reports from community mental
patients occupying 801 beds, giving an overall health services for June 2002, there were an
occupancy rate of 94 percent (or 99.5 percent estimated 42,993 active clients (expected to
including those on leave) on 30 June 2002. rise to 60,000 or more when all services are
This indicates a high demand for acute mental reporting unit record data). Of these 1,771 or
health beds in co-located units. 4.1 percent of clients are on community orders.
APPENDIX
124
Public psychiatric hospitals with beds
gazetted under the Mental Health Act 1990
Admitted in Deaths
Available beds Available beds In residence 12 mths to On in 12
as at 30/6/01 as at 30/6/02 30/6/02 leave mths
as at as at Over Same as at to
Hospital/Unit gaz non-gaz tot gaz non-gaz tot 30/6/01 30/6/02 Night Day 30/6/02 30/6/02
Rozelle Psychiatric 1 192 31 223 200 31 231 149 178 1,602 59 12 3

Macquarie Hospital 171 0 171 175 0 175 159 163 344 4 5 3
Cumberland Psychiatric 230 0 230 236 0 236 196 230 1,675 44 6 2
James Fletcher – Morisset 100 28 128 104 26 130 116 119 108 0 3 4
James Fletcher – Newcastle 2 68 14 82 78 4 82 73 69 1,307 67 9 2
Bloomfield Psychiatric 112 21 133 112 21 133 104 112 1,057 64 7 6
Kenmore Psychiatric 54 0 54 54 0 54 41 51 73 0 2 0
2001/02 TOTAL 927 94 1,021 959 82 1,041 838 922 6,166 238 44 20
2000/01 Total 927 94 1,021 838 5,711 268 87 15
1999/00 Total 915 97 1,012 872 5,621 220 78 33
1998/99 Total 955 83 1,038 918 5,837 251 78 46
1 Rozelle Hospital – Ward 34 from Concord Hospital is still located in Rozelle as Ward 24 (relocation happened in June 2001 pending
18
redevelopment at Concord).
2 James Fletcher – Newcastle – non-gazetted bed numbers reduced to four in 2002 from 14 in 2001.
Source: Centre for Mental Health
APPENDIX
125
Public hospital psychiatric units
gazetted under the Mental Health Act 1990
Other non-gazetted psychiatric units are also included

Admitted in Deaths
Available beds Available beds In residence 12 mths to On in 12
as at 30/6/01 as at 30/6/02 30/6/02 leave mths
non non as at as at Over Same as at to
Hospital/Unit gaz gaz tot gaz gaz tot 30/6/01 30/6/02 Night Day 30/6/02 30/6/02
Albury Base – Nolan House 20 20 20 20 15 19 458 24 0 0

Armidale Hospital 8 8 8 8 7 8 470 29 0 0
Bankstown Hospital – 2D 4 0 12 12 0 10 10 12 10 235 5 0 0
Bankstown Hospital – Banks House 30 30 30 30 29 28 791 21 2 0
Blacktown – Bungarribee House 14 16 30 30 30 22 26 545 20 12 0
Bowral 2 2 0 2 2 1 2 77 5 0 0
Broken Hill Base – Special Care Suite 2 2 2 2 1 2 153 7 0 0
Campbelltown Hospital – Waratah Hse 30 30 30 30 23 29 507 220 0 0
Coffs Harbour Hospital – Psych Unit 13 13 18 18 13 17 511 16 1 1
Concord Hospital – Ward 34 1 0 0 0 0 0 0 0 3,922 0 0
Dubbo Base – Special Care Suite 2 2 2 2 1 0 134 1 0 0
Gosford District Hosp – Mandala Clinic 30 30 25 25 25 21 785 242 0 0
Goulburn Base – Chisholm Ross 20 20 22 22 19 20 530 0 1 0
Greenwich Hospital – Riverglen Unit 10 10 20 20 20 19 15 250 67 2 0
Hornsby & Ku-ring-gai Hosp – Lindsay Madew Unit 25 25 25 25 23 25 602 18 3 2
Kempsey District – Ward 149 2 4 4 0 0 3 0 0 0 0 0
Lismore Base – Richmond Unit 25 25 25 25 24 25 1,432 176 2 0
Liverpool Hospital – Psych Unit 30 30 30 30 29 28 899 55 1 0
Long Bay Prison Hosp – All Psych units 60 30 90 89 89 88 88 389 0 0 0
Maitland Hospital – Psych Unit 24 24 24 24 22 22 696 30 1 0
19
Manly District – East Wing General 20 20 20 20 19 19 771 5 0 0
Manly District – East Wing Psychogeriatric 5 5 10 10 10 7 10 241 1 1 1
Manning Base – Taree Acute Inpatient Unit 3 10 10 8 97 3 0 0
Mudgee – Special Care Suite 2 2 0 2 2 0 0 21 1 0 0
Nepean Hospital – Piala Unit 30 30 30 30 35 29 754 81 2 1
Prince of Wales – Adult Psychiatry 49 49 49 49 47 47 877 64 0 0
Prince of Wales – Neuropsychiatric Inst 3 3 3 3 2 3 29 0 1 1
Prince of Wales – Psychogeriatric 6 6 6 6 6 6 47 0 0 0
Queanbeyan 2 2 2 2 1 0 11 0 0 0
Royal North Shore – Cummins Unit 20 20 20 20 19 19 480 17 2 1
Royal Prince Alfred – Missenden Unit 40 40 40 40 37 40 869 21 0 2
Shellharbour Hospital – Eloura Unit 34 34 34 34 33 34 1,780 184 0 0
Shellharbour Hospital – Mirrabook Unit 20 20 20 20 18 20 892 53 3 0
St George – Pacific House 25 25 26 2 28 25 27 1,011 67 2 0
St Joseph's Auburn – Psychogeriatric 15 15 15 15 15 15 126 2 0 0
St Vincents – Caritas 27 27 27 27 25 26 585 34 2 0
Sutherland Hospital – Psych Unit 22 22 22 22 22 20 518 62 4 0
Tamworth Base – Banksia Unit 15 15 13 2 15 15 12 772 142 1 0
Wagga Wagga Base – Gissing House 16 16 16 16 16 14 411 38 0 0
Westmead – Adult Acute Unit 12 12 12 12 12 12 658 2,581 0 0
Westmead – Psychogeriatric Unit 7 7 8 8 7 8 75 2 0 0
2001/02 Total (excl C&A) 783 18 801 754 20,489 8,216 43 9
2000/01 Total (excl C&A) 713 79 792 737 20,985 7,723 80 2
Child & Adolescent Units

Coral Tree Family Unit 5 0 15 15 15 15 0 0 253 1,251 0 0
Thomas Walker – Rivendell 6 0 22 22 0 24 24 0 0 333 1,208 0 0
Westmead – Redbank House 7 9 17 26 9 17 26 14 9 339 2,473 0 0
Campbelltown – Gnakulun 8 10 10 4 31 194 2 0
2001/02 Total Child and Adolescent 19 56 75 13 956 5,126 2 0
APPENDIX
2000/01 Total Child and Adolescent 9

9 54 63 14 935 4,774 23 0
2001/02 TOTAL all Units 802 74 876 21,445 13,342 45 9
2000/01 Total all Units 9

718 137 855 718 137 855 751 21,920 12,497 103 2

719 130 849 730 20,492 13,651 56 11
770 113 883 810 18,792 12,567 26 13
1 Ward 34 of Concord Hospital relocated to Rozelle on 18/06/2001 8 New adolescent ten bed unit opened in Campbelltown Hospital
– now Ward 24 at Rozelle. in October 2001.
2 This ward was closed in July 2001 pending the development of 9 This is a corrected total – six rather than 17 non-gazetted beds
a new ten bed Mental Health Unit at Kempsey District Hospital. at Redbank were reported in the 2000-01 Annual Report.
3 Manning Base – Taree Acute Inpatient Unit opened in Dec. 2001. 10 This is a corrected total – two nongazetted beds at Bowral and
4 Bankstown Ward 2D not funded under Mental Health Program. two gazetted beds at Queenbeyan were not reported in the
5,6 Bed numbers shown were actually unavailable at midnight on 1999-2000 Annual Report.
30 June as the units closed at 3pm on the day when beds and 11 This is a corrected total – two non-gazetted beds at Bowral and
residents were recorded – these units operate Monday to Friday. two gazetted beds at Queenbeyan were not reported in the
7 Redbank House has nine gazetted beds in the Acute Adolescent 1998-1999 Annual Report.
Unit, nine non-gazetted adolescent and family beds, and eight
non-gazetted child and family beds. These were incorrectly Source: Centre for Mental Health
reported as 15 rather than 26 beds in the 2000-01 Annual Report.
126
Private hospitals in NSW
authorised under the Mental Health Act 1990
Admitted in Deaths in
Available beds In residence 12 mths to 30/6/02 On leave 12 mths
as at as at as at as at Over Same as at to
Hospital/Unit 30/6/01 30/6/02 30/6/01 30/6/02 Night Day 30/6/02 30/6/02
Albury/Wodonga Private 6 6 3 3 42 0 0 0
Evesham 36 42 21 30 466 1,279 1 0
Lingard 25 25 14 21 296 1,276 0 0
Northside Clinic 89 89 65 69 1,496 2,763 0 0
Port Macquarie Base 1
10 10 9 8 277 3 1 0
South Pacific 33 33 25 23 357 0 0 0
Wentworth Private Clinic 2
40 80 29 20 707 1,947 1 0
St John of God Burwood 86 86 45 58 1,260 1,241 0 0
St John of God Richmond 3
89 89 47 52 1,090 2,053 0 0
Sydney Private Clinic 34 34 24 32 642 1,693 0 0
Wandene 30 30 27 21 430 1,436 1 0
Wesley Private 38 38 31 35 556 4,909 0 1
Mayo Private Clinic 8 8 8 5 203 66 0 0
TOTAL 2001/02 570 377 7,822 18,666 4 1
20
Total 2000/01 524 348 348 7,126 14,454 42 4
Total 1999/00 519 382 6,711 12,855 16 2
Total 1998/99 518 351 6,711 14,407 1 3
1 Port Macquarie Base beds are non-gazetted public psychiatric beds within a private hospital.
2 Previously known as St Edmunds Private Hospital.
3 St John of God Richmond also provides contract psychiatric services for public patients.
Source: Centre for Mental Health
APPENDIX
127
NSW Government Action Plan for Women
Department response NSW Health provides leadership and policy

to the Government’s philosophy guidance to address these key directions.
in relation to women Implementation occurs within a performance
The NSW Government’s Action Plan for management process in partnership with Area
Women complements the Government’s Social Health Services (AHSs) and non-government
Justice Directions Statement.The principles organisations (NGOs) using the Women’s
of equity, access, rights and participation Health Outcomes Framework.The focus is on
underpin the Action Plan providing a focus equity of outcomes for women with the least
on women with the least access to social access to social and economic resources.
and economic resources. The Women’s Health Outcomes Framework
The NSW Health response to the government’s provides AHSs and NGOs with a step-by-step
philosophy in relation to women is informed outcomes approach which directly links policy
by the Action Plan’s underlying principles to measuring health gain from innovative
and provides clear policy direction. programs funded through the Department.
NSW Health’s Women’s Health Policy Objective one

responses define a range of factors as key
determinants of the health status of women. Reducing violence against women
21
These determinants include the role The NSW Health Domestic Violence Policy
and position of women in society, their and Procedures (2002) have been finalised.
reproductive role and their biomedical health. The Regional Violence Prevention Strategy
The NSW Health Women’s Health Policy involves a partnership between the
and priorities are outlined in: Attorney-General’s Department, NSW Police,
the Department of Community Services,
● A Strategic Framework to Advance the
NSW Health, and more recently the
Health of Women in NSW
Department of Housing. NSW Health’s
● The Women’s Health Outcomes Framework participation involves the implementation
and Resource Kit of and support for 17 Regional Violence
● Gender Equity in Health. Prevention Specialists’ plans and a recurrent
funding contribution of $620,000 for 2001-02.
The Strategic Framework to Advance the Health In addition, AHS staff are involved in regional
of Women outlines the key strategic directions initiatives aimed at reducing violence.
underpinning the implementation of the
women’s health policy in NSW.These include: The 2001-2002 allocation of one-off grants
for initiatives funded through the women’s
● Incorporating a gender approach to health
health component of the Public Health
APPENDIX
● Working in collaboration with others Outcome Funding Agreement included four

to address social determinants violence prevention strategies:
● Advancing research in women’s health 1 A partnership approach to reducing sexual
● Applying a health outcomes approach violence towards Aboriginal women
to women’s health. and children in the Central Coast Area
(Central Coast Community Women’s
Health Centre – $28,000)
128
NSW Government Action Plan for Women
2 Improving access of Aboriginal women to Objective six

sexual assault services in the New England
Improve the health and quality of life
Area through community capacity building
of women in NSW
(New England AHS – $47,000)
In 2001-2002 several innovative projects were
3 Improving identification of the needs of funded from the women’s health component
child sexual assault survivors in Aboriginal of the Public Health Outcome Funding
communities in the Armidale area (Armidale Agreement (PHOFA) including the following
Family Support Service – $25,900) which were designed to:
4 Reducing the rate of sexual assault in ● reduce depression and other mental health
young women in the central Sydney area disorders through the provision of support
by addressing binge drinking as a risk and services to women (Hunter AHS
factor (Central Sydney AHS – $50,000). – $70,620)
● address a range of health issues for women
Objective two
in the Bathurst area with partners in
Promoting workplaces that are equitable, prison, through a post-release program
safe and responsive to all aspects of designed to reduce violence and address
21
women’s lives the risk of transmission of HIV, STDs
The Gender Equity in Public Institutions and Hepatitis C (Central West Women’s
(GEPI) Project is researching issues relating Health Centre – $69,790)
to gender in public sector organisations.
● contribute to a community capacity
The project is a partnership between selected
building initiative in Westlakes to address
public sector agencies including NSW Health,
social isolation of women through a
the Department for Women, the Department
physical activity program (Hunter AHS
of Industrial Relations, the Department
– $45,000)
of Education and Training, the Director of
Equal Opportunity in Public Employment ● address the negative outcomes for girls
and the University of Sydney. It is auspiced at risk of pregnancy in the Macarthur area
by the Premier’s Department.The project is (South Western Sydney AHS – $106,400)
designed to examine the impact of gender ● improve the mental health outcomes
on policy development, diffusion and for young, disadvantaged women through
implementation in the public sector, and a community-based approach (Leichhardt
will proceed through 2002. Women’s Community Health Centre
– $24,900).
APPENDIX
129
Privacy Management Plan
The Department of Health has prepared The Health Privacy Code of Practice has
and implemented the Health Privacy been made under section 29 of the PPIPA
Management Plan to meet the to modify the application of the information
requirements of section 33 of the protection principles. A copy of the code is
Privacy and Personal Information included at Appendix D of the Privacy
Protection Act (PPIPA) 1998. Protection Guidelines.
The Health Privacy Management Plan was NSW Health had previously established
issued as Circular 2000/62 in July 2000. an information privacy policy for health
It applies to all NSW Health agencies, information, which was distributed as the
including all public health organisations Information Privacy Code of Practice (IPCOP),
under the Health Services Act 1997, the Circular 99/18.This policy was designed
NSW Department of Health and the to ensure that personal health information
Ambulance Service. is collected, stored and handled in accordance
with information protection principles.
The release of the plan was accompanied by
training seminars held in all public health The Privacy Protection Guidelines note that
organisations to inform health workers about while the IPCOP predates the PPIPA,
the requirements of PPIPA. it is NSW Health’s major policy document
22
on information privacy.
The Health Privacy Management Plan consists
of two documents: During 2001-02, there were no instances
of internal reviews under section 29 of PPIPA
1. Privacy Protection Guidelines, which
within the NSW Department of Health.
identify how all NSW Health agencies
will comply with the information
protection principles in the PPIPA.
2. Internal Review Guidelines, which
provide procedures for the review
of certain conduct of an agency, in
circumstances where the individual
believes that the agency has breached
the terms of the PPIPA.
APPENDIX
130
Disability Plan
The NSW Department of Health Disability NSW Health aims to foster a ‘good practice’
Action Plan 2000-02 was approved by culture throughout the health system to
the Director-General on 29 August 2000. promote positive attitudes to people with
disabilities.The Department has the
The plan reflects and builds on the principles
opportunity to build on the work by Area
of the Department’s Strategic Directions
Health Services (AHSs), the Ambulance
for Health 1998-2003, the Corporate Plan
Service, Corrections Health Service and the
1998-2003, the Equity Management Plan
Children’s Hospital at Westmead to draw out
and the NSW Government Disability
and share examples of good practice by
Policy Framework.
individual agencies.The relationship with these
A number of specific strategies identified in agencies also provides an opportunity for the
the plan have been completed including: Department to provide leadership in the
promotion of disability awareness and the
● adjustment to building and internal fit-out
development of appropriate strategies.
as identified in an access audit of the
North Sydney premises, to meet the needs The availability of appropriate equipment,
of people with disabilities, eg. accessible aids and appliances, is essential for the
reception area, wheelchair circulation independence of people with disabilities,
23
routes upgraded, improved meeting and their ability to take part in the activities
and conference venues and equipment, of daily life.The Department of Health is
including facilities for the hearing impaired involved in joint planning with AHSs, the
and disabled toilet and shower facilities Department of Ageing and Disability and
in the building Home Care, the Commonwealth Department
of Veterans’ Affairs and non-government
● development and inclusion of disability
organisations to ensure a more systematic
component in the Department’s Staff
approach is taken to the provision of
Induction Program
appropriate aids and equipment to people
● development of an Equity Management with disabilities.
Plan to address employment practices
and conditions for employees with
disabilities.The implementation of this
plan is overseen and monitored by
an Equity Advisory Committee within
the Department.
APPENDIX
131
Equal employment opportunity statistics
Major outcomes for the year Spokeswomen’s Program

The Spokeswomen’s Program continues
EEO Advisory Committee
to promote the interests and career
● Implemented the Department’s Equity
development of women through forum
Management Plan.
and information seminars.
● Delivered and evaluated equity training
programs for senior managers.
● Created a web-based departmental
equity manual.
● Developed and implemented the
Aboriginal Traineeship Program,
which targets Aboriginal and Torres
Strait Islander people for office
administration traineeships.
24 Percent of subgroup by level
Percent of Subgroup across Levels
Disability
Aboriginal Racial, Ethnic, requiring
Total & Torres Ethno-Religious work-related
Level staff Respondents Men Women Strait Islander Minority groups ESL staff * Disability adjustment
< $27,606 0% 0% 0% 0% 9%
$27,606 – $36,258 3% 3% 2% 4% 1% 1%
$36,259 – $40,535 5% 5% 1% 7% 7% 7%
$40,536 – $51,293 14% 15% 8% 18% 10% 22% 22% 9% 10%
$51,294 – $66,332 30% 33% 31% 29% 45% 31% 37% 36% 30%
$66,333 – $82,914 33% 36% 35% 31% 20% 27% 23% 46% 60%
> $82,914 (non-SES) 4% 4% 4% 3% 2% 3%
> $82,914 (SES) 12% 4% 17% 8% 16% 10% 7% 9%
TOTAL 100% 100% 100% 100% 100% 100% 100% 100% 100%
Distribution Index 91 95 95 93 105 N/A

APPENDIX
* English as a second language (ESL).
132
Occupational health and safety
Workers compensation claims made

within the NSW Department of Health
continue to decline in terms of average
cost and overall numbers of claims.
Of the 33 claims made, 28 (85%) have

a current estimated cost of under $5,000.
There were no prosecutions under the
Occupational Health and Safety Act 2000
during 2001-2002.
The decline in number and cost of claims
can be partly attributed to improved claims
management and continuing Occupational
Health and Safety Programs such as:
● an improved return-to-work program
● regular contact with staff and managers
in claims processes
25
Types of claim as per GIO categories
● concerted efforts to revitalise the
Occupational Health and Safety
(OHS) committee
● raising the awareness of OHS
through induction, safety programs
and e-mail messages
● improved ergonomic training and
assessment programs.
Number of claims in the past four financial years

APPENDIX
133
Human resources
Personnel policies and practices

Corporate Personnel Services is responsible
for developing human resource policies for
NSW Department of Health staff, as well as
providing support and guidance to managers
and staff on all human resource issues.
Human Resource issues include the conditions
of employment, training, equity, salaries,
grievance resolution, organisational change,
occupational health and safety, workers
compensation and rehabilitation.
Major achievements for the year Policies released

● Facilitated ‘Functional Realignment 2001’, ● The NSW Department of Health –
which involved the realignment of many Occupational Health and Safety Policy
functions throughout the Department (Circular No. 2001/69).
and the evaluation and re-evaluation
26
● The NSW Department of Health Workers’
of 600 position descriptions utilising
Compensation and Injury Management
‘best practice process’.
Policy (Circular No. 2001/68).
● Won the Baxter Better Health Award for
● NSW Department of Health Procedures
Innovation for the ‘Recruitment Rescuer’,
for Collection of Staff Exit Information
an intranet-based policy and resource for
(Circular No. 2002/16).
strategic recruitment.
● NSW Department of Health Induction
● Developed work modules for salaries,
(Circular No. 2002/34).
establishment, occupational health and
safety, workers’ compensation, training
and job evaluation, to assist with
the introduction of the Department’s
new computerised payroll and human
information system, CHRIS (Complete
Human Resources Information System).
● Developed and implemented training
courses on ethics, anti-discrimination,
APPENDIX
bullying, harassment and grievances, and

occupational health and safety, for senior
executive service staff and senior managers.
● Revitalised the Induction Program and
processes, as reflected in the Induction
Policy (Circular No 2002/34).
● Revitalised the Equity Advisory Committee,
as reflected in increased membership
numbers, and the broad range of issues
and initiatives undertaken.
134
Human resources
Career development and Staff Awards for Excellence

quality initiatives The Staff Awards for Excellence recognise
outstanding service within the Department.
Management Skills Program
The Management Skills Program was The awards are presented to individuals and
implemented for managers at clerk grade teams who have demonstrated the Department’s
11/12. Participants’ evaluations indicated corporate values of fairness, respect, integrity,
that it was a highly successful and worthwhile learning and creativity, and effectiveness in
program. It covered the topics of people their performance.
management, ethical management, leadership
skills, resource management, information July – September 2001
management and strategic management.
The program will be a permanent feature Individual Winner Safa Zreika
of the training calendar. Team Winner Tobacco Policy Unit
Team Members John Sanders, Sharon Allen,

The Margaret Samuel Memorial Scholarship
Blythe O’Hara, Keren Kiel,
for Women
Catriona O’Neill, Nadia Gough,
The scholarship is designed to assist female
26
Christina Peters, Elayne Mitchell,
officers in the Department up to and
Debbie Banerjee
including clerk grade 7/8, to pursue tertiary
studies in an area that is relevant to the
Department’s functions. Areas may include October – December 2001
health and general administration, finance, Individual Winner Marilyn Johnston

human resources, information technology
and law.The scholarship was awarded by the Team Winner Refurbishment Team
Director-General to three staff. Members Sue Leak, John Purcell
January – March 2002

Award winner
Nicole Badger Policy Analyst Individual Winner Anne Lawrence
Environmental Health Team Winner Acute Service Access Strategy

Unit Team
Suzanne Sherington Clerical Officer,
Food Branch Team Members Cheryl Johnson, Jennifer Gavin
Donna Scard Patient Access

April – June 2002
APPENDIX
Support Officer,
Information Individual Winner Frances Cannon
Management Division
Team Winner Nurses Registration Board
Call Centre
Team Members Veronika Morgan, Carolyn

Broadhead, Vivienne Sheeky,
Jan Lardner-Smith, Lauraine
McKenzie, Karen Carratt
135
Risk management and insurance activities
Within NSW Health the major risks patients in public hospitals from incidents up
are Workers’ Compensation and to and including 31 December 2001.
Public Liability.
This initiative was introduced to lessen
financial demands for medical defence
Workers’ Compensation
organisations, thus helping to set premiums.
The total workers’ compensation claims cost
for 2001-02, as at 30 June 2002 included Specialist Sessional VMOs –
41% for Nurses, 23% for Hotel Services, 12% Obstetricians and Gynaecologists
for General Administration, 8% for Ambulance, The Indemnity Scheme introduced by the
4% for Maintenance, with the remaining Department in February 1999 for specialist
12% spread amongst all other occupations. sessional VMOs – obstetricians and
Body Stress (manual handling) contributed gynaecologists seeing public patients in public
about 47% of the claims cost, Slips and Falls hospitals – has been incorporated into the
15%, Stress 15%, Hit By Objects 8%, with the VMO/HMO Public Patient Indemnity Cover.
remaining 15% spread amongst other causes.
Property
Legal Liability While property risks are not significant,
Statistics held since 1 July 1989 as at 30 June similar statistics are held for property with
27
2002, reveal that legal liability costs are details being Storm 34%, Fire/Arson 27%,
dissected as follows: Treatment non-Surgical Theft/Burglary 14%, Accidental Damage 10%,
61%,Treatment Surgical 29%, Hepatitis C 4%, Fusion/Electrical Faults 9% and Other 6%.
Slips and Falls 3%, Accidental Damage 1%
Claims excesses
and Other 2%.
Claims excesses apply to Liability and
Visiting Medical Officer (VMO) and Property Claims and equate to 50% of the
Honorary Medical Officer (HMO) cost of the claim capped at $5,000 and $3,000
– Public Patient Indemnity Cover respectively.These financial excesses are to
In December 2001, the NSW Government encourage local risk management practices.
advised that from 1 January 2002 it would
NSW Treasury Managed Fund (TMF)
provide coverage through the NSW Treasury
Risks are covered by the NSW Treasury
Managed Fund for all VMOs/HMOs treating
Managed Fund (which is a self-insurance
public patients in public hospitals, provided
arrangement of the NSW Government).
that they each signed a Service Agreement
The Department is a member. The Department
with their public health organisation, and also
is provided with funding via a benchmark
signed a Contract of Liability Coverage.
process and pays deposit premiums for
APPENDIX
In accepting this coverage,VMOs/HMOs Workers’ Compensation, Motor Vehicle,

agreed to a number of risk management Liability, Property and Miscellaneous Lines of
principles that would assist with the reduction Business.The Workers’ Compensation and
of incidents in NSW public hospitals. Motor Vehicle deposit premiums are adjusted
through a hindsight calculation process after
Retrospective Cover for VMOs/HMOs
five years and 18 months respectively.
for incidents prior to 1 January 2002
With the announcement of the VMO/HMO Financial responsibility for Workers’
Public Patient Indemnity Cover, the NSW Compensation and Motor Vehicle has been
Government also announced that it would devolved to the health services while
provide coverage for all unreported claims Liability, Property and Miscellaneous are held
from VMOs/HMOs from treating public centrally as master managed funds.
136
Risk management and insurance activities
Funding and expenses during 2001-02 ● Publication of the NSW Health document
Effective Incident Response: A Framework for
Premium Benchmark Funding
$M $M % Prevention and Management in the Health
Workers Compensation 160.570 162.499 101 Workplace, which aims to assist health
Motor Vehicle 7.447 8.316 112 services to minimise the potential for
Property 6.023 5.632 93.5 incidents and to develop a planned response
Liability 82.885 81.668 98.5 if and when they occur.
Miscellaneous 0.173 0.164 95
Total TMF 257.098 258.279 101
● Ongoing development of the NSW Health
VMO 42.829 42.829 100 OHS Numerical Profiles.
TOTAL 299.927 301.108 100 ● Ongoing commitment to the Premier’s

Department Corporate Services reform
Benchmark break even is at 100% funding for initiatives, with NSW Health targets
Workers’ Compensation and Motor Vehicle, devolved to all health services.
and actuarially calculated at 95% for Liability,
● Twice-yearly meetings of the NSW Health
Property and Miscellaneous. In each line
Risk Management Coordinators for formal
of business (with the exception of Property)
presentations, workshops and networking.
in 2001-02, the Department has equalled
27
or bettered the benchmark break even. ● The Clinician’s Toolkit for Improving Patient
Property funding is 1.5% under benchmark, Care, which is directed at Visiting Medical
reflecting the need for more effective Risk Officers and other clinicians.
Management to reduce the smaller claims.
TMF – Risk Management Unit
Risk Management Initiatives Sponsored Projects
NSW Health has a number of continuing As a contract requirement, the fund manager is
and new initiatives under way to reduce risks. obliged to provide assistance to fund members
They include: to undertake special projects they desire, and
have been approved as ‘sponsored projects’.
● Continued commitment to early Injury
Management and return to work of During 2001-02, the following sponsored
injured workers. projects were either ongoing or completed:
● Formation of the NSW Health Taskforce Ongoing
on the Prevention and Management Central Sydney AHS
of Violence in the Health Workplace. Integrated Management Systems
This resulted in work beginning on – A Corporate Approach
a number of key violence prevention
Corrective Services/Corrections Health
APPENDIX
strategies, including the development
of a zero tolerance to violence policy and Risk assessment and OHS Management Plan
implementation framework, a statewide, Mid North Coast AHS
modular, accredited aggression prevention Risk Management System
and management training program,
Southern AHS
health building guidelines to ensure that
OHS Management Systems Development
the design of all new health buildings
incorporates crime prevention through Northern Sydney AHS
environmental design principles, review Contracting and Procurement
and updating of the NSW Health Security
Completed
and Safety Manual and a security assessment
Central Sydney AHS
tool to drive continuous improvement.
Risk Management Plan
137
Freedom of Information
During the 2001-02 financial year, Twenty-seven applications required consultations

NSW Health received 74 new requests with parties outside the NSW Department
for information under the Freedom of of Health. Some applications required
Information Act 1989, compared to consultation with more than one party.
72 for the 2000-01 financial year. A total of 88 third parties were consulted.
Overall, the number of Freedom of
Processing FOI requests during 2001-02
Information (FOI) applications has
cost an estimated $21,183, which was partly
increased by 3%.
offset by a total of $16,729 received in fees
Three applications were carried over from and charges.The annual operating cost
the 2000-01 reporting period. Of the 77 to the Department was about $120,000.
applications to be processed, 17 were granted This figure comprises the wages and general
full access, 17 were granted partial access, administration of operating resources in the
33 were refused access, four were transferred FOI Unit.The Department has, as a matter of
to other agencies and two applications principle, a policy of keeping the fees charged
were withdrawn at the applicant’s request. for processing FOI applications to a reasonable
Four applications were carried forward to the figure, in order to assist FOI applicants.
next reporting period.The most significant Two requests were determined outside of
28
FOI applications received by the Department the time limit prescribed by the Freedom of
related to public health issues. Information Act 1989.This was mainly due to late
There was a 37% decrease in the number responses from third parties during consultation.
of FOI applications of a personal nature, while The Office of the Ombudsman completed
the number of non-personal requests increased an external review of five cases and closed
by about 27%. Seventeen applications (23% of the files within the reporting period.
new requests) were received from Opposition
In a case where an applicant lodged an
Members of Parliament, the same number
application for access to documents in 1999,
submitted the previous year.
the applicant sought an external review
Nine applications for an internal review were of the Department’s determinations.
received within the reporting period. In four As a result of the recommendations made
cases, the original determination was varied by the Ombudsman, the Department made
and additional documents were released. a redetermination under section 52A,
In two cases, the original determination granting access to documents previously
to refuse access to documents was upheld. held to be exempt. As the documents related
In three cases, a third party sought internal to third parties, the people concerned were
review of the determination to release granted the right of review by the Ombudsman
APPENDIX
documents relating to their business affairs. and/or appeal to the Administrative Decisions
In each case, the initial determination Tribunal (ADT). Four people requested
was upheld. a review by the Ombudsman, but that Office
No applications were received for amendment determined not to take any further action
of records and no ministerial certificates on these matters. None of the parties lodged
were issued. an appeal with the ADT.
138
In a case where an applicant sought access Four cases where appeals had been lodged
to documents in 2000, documents were with the ADT were carried forward from the
determined for release, which contained previous reporting period.
information relating to a third party.The third
In the 1999 case mentioned above, the
party sought an external review of the
applicant lodged an appeal with the ADT.
Department’s determination.The Ombudsman
The applicant subsequently received access
suggested that the Department make a
to all documents and withdrew the appeal.
redetermination under section 52A.
The Department made a redetermination Another applicant, who sought access
that the applicant should be granted partial to documents and an amendment of a
access to the document, after the name document in 1999, was dissatisfied with
and identifying details of the third party the determinations of the Department.
had been deleted. In the last reporting period, the Ombudsman
upheld the Department’s determinations,
In the same case, documents were determined
whereupon the applicant lodged an appeal
for release, which contained information
with the ADT. A mutually agreed statement
relating to another third party. The third
was added to the document regarding which
party also sought an external review of the
amendment was sought.The matter of access
28
Department’s determination.The Office of
to documents has been carried forward to
the Ombudsman upheld the Department’s
the next reporting period.
determinations.The third party was notified
of the right of appeal to the ADT, but chose In a case where an applicant sought access
not to appeal. to documents in 2000, the applicant
was denied access to some documents.
In another case, where the applicant sought
The applicant lodged an appeal with the
access to documents in 2000, the applicant
ADT the applicant subsequently withdrew
was notified that some documents could not
the appeal.
be located.The applicant sought an external
review of the Department’s determination. In the current reporting period, an applicant
The Ombudsman investigated the matter applied for access to documents relating
and found that the Department had made to a third party.The third party was consulted
all reasonable attempts to locate additional and partial access was granted contrary to
documents sought by the applicant. It appeared the views expressed by the third party.
that no such documents had been created. The third party requested an internal review
and the initial determination was upheld.
In a case where an applicant sought access
The third party lodged an appeal with the
to documents in 2001, the initial determination
ADT against the Department’s determinations
APPENDIX
was to deny access to documents relating
to release the documents. After the initial
to a third party.The applicant sought internal
planning meeting, the third party applied
review and the initial determination was
to discontinue the matter.
varied with the applicant being granted full
access to four documents.The third party
requested an external review.The Ombudsman
upheld the Department’s determination
to release the documents.
139
Freedom of Information requests

These statistics are set out in accordance with the requirements of the FOI Act of NSW and in the format
prescribed by the Premier’s FOI Procedure Manual.
Numbers of new FOI requests

Personal Other Total
FOI Requests 00/01 01/02 00/01 01/02 00/01 01/02 % variance
New requests (inc transferred in) 27 17 45 57 72 74 +3%

Brought forward - 0 2 3 2 3 +50%
Total to be processed 27 17 47 60 74 77 +4%
Completed 23 12 40 55 63 67 +6%
Transferred out 4 3 3 1 7 4 -43%
Withdrawn - 1 1 1 1 2 +100%
Total processed 27 16 44 57 71 73 +3%
Ongoing (carried forward) - 1 3 3 3 4 +33%
28
Results of requests
Personal Other Total Total
Result of request 00/01 01/02 00/01 01/02 00/01 % of all 01/02 % of all
Applications granted in full 18 5 22 12 40 63% 1 17 25%

Granted in part 2 5 10 12 12 19% 1 17 25%
Refused 3 2 8 31 11 17% 1
33 49%
Deferred - - - - - 0% - 0%
Completed 23 12 40 55 63 100% 67 100%
Ministerial certificates
Number issued during the period 0
Formal consultations
Cases Consultations
APPENDIX
00/01 01/02 00/01 01/02
Number of requests requiring formal consultations 32 27 122 88
Amendment of personal records

Personal records amended Personal Other
All completed requests - -

Number of requests for notation - -
1 Addenda from previous Annual Report.
140
FOI requests granted in part or refused

Basis of disallowing or restricting access 00/01 01/02 00/01 01/02 00/01 01/02
Section 19 (app. incomplete, wrongly directed) - - - - - -

Section 22 (deposit not paid) - 1 3 6 3 7
Section 25 (1)(a1) (diversion of resources) - - - 6 6
Section 25 (1)(a) (exempt) 2 6 10 12 12 18
Section 25 (1)(b), (c), (d) (otherwise available) - - - 1 - 1
Section 28 (1)(b) (documents not held) 3 1 5 17 8 18
Section 24 (2) (deemed refused, over 21 days) - - - - - -
Section 31 (4) (released to medical practitioner) - 1 - - - 1
TOTALS 5 9 18 42 23 51
Costs and fees of requests processed

Incurred Costs FOI Fees Received
Costs and Fees 00/01 01/02 00/01 01/02
All completed requests $8,832 $21,183 $4,760 $16,729
28
Discount allowed
Personal Other Total % variance
Type of discount 00/01 01/02 00/01 01/02 00/01 01/02
Public interest - - 1 - 1 - -100%

Financial hardship 1 2 - - 1 2 +100%
Financial hardship (non-profit organisation) - - - - - - 0%
Under 18 yrs of age - - - - - - 0%
TOTAL 1 2 1 - 2 2 0%
Significant correction of personal records Personal Other Total

APPENDIX
- - -
141
Days to process request
Personal Other Total Total

% of all % of all
Elapsed time 00/01 01/02 00/01 01/02 00/01 apps. 01/02 apps.
Applications 0-21 days 13 4 22 39 35 49% 43 64%

22-35 days (consultation period) 13 8 19 14 32 45% 22 33%
over 35 days (extended consultation) - - - - - 0% - 0%
over 21 days (out of time determination) 1 0 3 2 4 6% 2 3%
over 35 days (out of time determinations) - - - - - 0% - 0%
TOTAL 27 12 44 55 71 100% 67 100%
Processing time
Processing hours 00/01 01/02 00/01 01/02 00/01 01/02
0-10 hrs 25 9 38 39 63 48
28
11-20 hrs 2 3 - 11 2 14
21-40 hrs - - 6 4 6 4
Over 40 hrs - - - 1 - 1
TOTAL 27 12 44 55 71 67
Reviews and appeals

Reviews 00/01 01/02
Number of internal reviews finalised 4 9

Number of Ombudsman’s reviews finalised 4 5
Number of ADT appeals finalised 4 4
Grounds on which internal review requested

Personal Other
upheld varied upheld varied
APPENDIX
Grounds 00/01 01/02 00/01 01/02 00/01 01/02 00/01 01/02
Access refused - - - - - 1 - 1
Deferred - - - - - - -
Exempt matter - - - 2 2 1 2 1
Unreasonable charges - - - - - - - -
Charges unreasonably incurred - - - - - - - -
Amendment refused - - - - - - - -
Third party - 1 - - - 2 - -
TOTAL - 1 - 2 2 4 2 2
Note: Some totals may not sum due to rounding of percentages.
142
Government Energy Management Policy
NSW Health is committed to achieving will be paid for through the guaranteed future
the Government’s energy management savings – energy savings of 29,692 GJ per year,
targets, as established in the Government water savings of 19,690 kL per year and a
Energy Management Policy (GEMP). reduction of 11.8% in total energy use within
those facilities.
Planning
Greater Murray AHS is benefiting from an
NSW Health has a statewide Energy Manager,
Energy Performance Contract worth $1M, for
whose role is to liaise with Area Health
lighting upgrades, building management system
Service (AHS) Energy Managers on energy
improvements and enhancements, optimisation
management issues and GEMP reporting.
of the boiler and heating system, power factor
Energy performance indicators have been correction equipment, chiller replacement and
determined and will be used to assess heat reclamation. It is estimated that greenhouse
future NSW Health strategies in achieving gas emissions will reduce by 1,400 tonnes,
energy efficiencies. with energy use reducing by 6.2%, producing
In 2001-2002 a forum was held with the savings of more than $200,000 per year.
energy managers from AHSs, the Ministry Northern Sydney AHS is benefiting from an
for Energy and Utilities and the Sustainable Energy Performance Contract at the Royal
29
Energy Development Authority, to further North Shore Hospital, worth almost $1.3M.
advance the process of implementing Energy It focused on improvements to lighting,
Performance Contracts, Government Energy ventilation and air-conditioning, building
Efficiency Investment Program projects and management and water management.
other initiatives that assist NSW Health in The Energy Performance Contract covers
achieving the GEMP targets. Energy managers the two main buildings on the site and will
also participated in a number of seminars and reduce total building energy at the hospital
conferences run by other organisations to by 7% and greenhouse gas emissions by an
improve performance against the targets. estimated 4,147 tonnes.
Representatives of NSW Health and the The Hunter AHS has successfully met its
Hunter AHS gave evidence to the Legislative 2005-06 GEMP targets, by switching from
Assembly Standing Committee on Public Works coal-fired to natural gas-fired boilers, reducing
Inquiry into Government Energy Targets, their net energy requirements, and installing
whose report was released in May 2002. 560 solar hot water panels, heat pumps and
An implementation committee comprising the photovoltaic panels.This will save over 3,000 GJ
Ministry of Energy and Utilities, Department of energy per year and achieve significant
of Public Works and Services, and the reductions in greenhouse gas emissions.
APPENDIX
Sustainable Energy Development Authority,
The Parramatta Linen Service, run by the
is considering the recommendations.
Western Sydney AHS, is benefiting from
Implementation a $138,000 Energy Performance Contract
NSW Health has introduced the following (EPC).This covers an improved lighting
projects to reduce energy consumption and system that includes a 48% reduction in
greenhouse gas emissions. lighting energy consumption, saving more
than $30,000 per year.
Mid Western AHS is benefiting from an
Energy Performance Contract, encompassing Illawarra AHS is benefiting from an investment
equipment upgrades and improvements worth of $474,000, through an EPC that results
over $2M within five hospitals, and a linen in guaranteed energy savings of more than
service in regional NSW. The improvements $100,000 per year.
143
Government Energy Management Policy
Most AHSs are exploring the prospects In October 2001, SEDA hosted the third
of undertaking Energy Performance Contracts annual Green Globe Awards, to recognise
or are considering the use of funding provided people and organisations that had contributed
through the Government Energy Efficiency to the development of sustainable energy
Investment Program (GEEIP). Subject to the in NSW.The Energy Smart Government
Sustainable Energy Development Authority Champion Award recognises the individual
(SEDA) and Treasury approval, it is anticipated within the NSW Government who best
that a significant number of projects will be performed their role under the Government
implemented during 2002-03. Energy Management Policy.The winner
of the inaugural Energy Smart Government
Performance against goals
Champion Award was presented to John Stanton
The fourth annual returns for energy from Hunter AHS. John has been responsible
consumption and costs were provided by all for overseeing a 23% reduction in overall
AHSs for the 2000-01 year.The data was energy use across the service.
evaluated against data reported in the 1995-96
baseline year and subsequent reports. Future direction
The Ministry is now collecting 2001-02 data
Key statistical data for 2000-01
for energy and utilities, via their recently
29
Total energy consumption for NSW Health
released internet-based EDGAR reporting
in 2000-01 was 4,813,437 gigajoules (GJ),*
system. Data will be reported back to NSW
or 19% of NSW Government energy use.
Health in 2003 for comparative analysis.
In 1999-00, NSW Health consumed
4,874,687 GJ, which represented 25.7% NSW Health is currently developing an
of government energy use. Energy and Water Management Framework
to coordinate and assist AHSs to achieve
During 2000-01, NSW Health was responsible
government targets and better manage
for 47.5% of the energy consumed by NSW
their resources.
government agency buildings, whereas this
consumption during 1999-00 was 49%. NSW Health will continue to review
opportunities for the application of Energy
Energy consumption Performance Contracts and other energy
management improvement solutions.
In 2000-2001:
● Hospitals used 3,362,484 GJ
● Community Health Centres,
Ambulance Stations and Nursing
APPENDIX
Homes etc. used 249,896 GJ

● Linen services and stand-alone Food
services etc. used 473,216 GJ
● Transport services consumed 697,492 GJ
of petrol, diesel and aviation fuel
● Office buildings for NSW Health,
which include lighting, office * Electricity, gas, petrol, or any other fuel is measured in
different units. In order to aggregate energy consumption,
equipment, etc, consumed 30,349 GJ. it is necessary to convert the different energy units to a
common unit. The customary common unit is the gigajoule.
144
Waste Reduction and Purchasing Policy
NSW Health employs 800 staff and Resource recovery

occupies nine floors of the office complex
Implementation
at 73 Miller Street, North Sydney, as well
NSW Health worked with the Sustainable
as locations at Gladesville and Surry Hills.
Energy Development Authority (SEDA) and
The Department has been active in all areas the North Sydney Mayor’s ‘North Sydney
of the NSW Government’s Waste Reduction CBD Greenhouse Initiative’. The Department’s
and Purchasing Policy (WRAPP) during the lighting project is now being used as a case
past 12 months. study by SEDA.
NSW Health upgraded its lighting and
Reducing the generation of waste lighting equipment to reduce electricity
Implementation consumption.The work involved zoning
To reduce the generation of waste, the of light switches, installation of ultrasonic
Department: occupancy sensors, implementation of a
lighting management system to progressively
● implemented a Waste Management Plan
switch off lights and installation of
● joined the WASTESAVER Program in programmable timers on water boiling units.
2000.This program is administered by the These measures reduced greenhouse gas
30
Northern Sydney Waste Board and has emissions by 285 tonnes per year and saved
been established to develop and promote 303 000 kWh of energy per year.
better waste management outcomes within
the community Results
Over the past year NSW Health’s Lighting
● removed personal waste bins and installed
Project delivered the following positive results:
recycling stations to manage waste disposal.
This was trialed for one year on a single ● reduction in greenhouse gases by
floor to refine the system, before its 285 tonnes per year, or 41 cars off the
introduction throughout the Department. road per year
● energy savings of 303,000 kWh per year.
Results
Over the past year, the Waste Management
Recycling materials
Plan delivered the following positive results:
NSW Health has been actively pursing
● 89.9% of the Department’s waste which opportunities to recycle materials. For example,
previously went to landfill is now during a recent office fit-out, all doors,
being recycled hardware, glass partitioning and office furniture
● 98% of paper and cardboard is now were recycled.
APPENDIX
being recycled
● recovery of recyclable containers
is now at 68%.
145
Code of Conduct
The people of NSW have the right to ● avoid conflicts of interest and act in the
expect that staff employed by the best interests of the people of NSW
NSW Department of Health demonstrate
● accept instructions from managers and
fairness, integrity and sound professional
supervisors
and ethical practice at all times, in every
respect of their employment. ● obey any lawful direction from managers
and senior executives. If staff have a dispute
Just as importantly, staff have the right to about carrying out a direction they may
a workplace free of any form of bullying, appeal through existing grievance procedures
harassment or unfair discrimination.
● follow departmental policies, guidelines
Ensuring these rights requires a professional
and procedures
standard of behaviour that demonstrates
respect for the rights of the individual ● avoid any form of exploitation or power
and the community as well as promoting imbalances in personal relationships in
and maintaining public confidence and trust the workplace.
in the work of government agencies.
Fairness and equity
The Departments has a Code of Conduct to Staff members should undertake their work
provide an ethical framework for staff decisions
31
and make decisions consistently, promptly
and actions. It is not possible for this code to and fairly.This involves dealing with matters
address all ethical questions or behaviour that in accordance with approved procedures, in an
staff may encounter. Staff need to be aware impartial, non-discriminatory manner and in
of, and comply with, relevant legislation and line with the principles of administrative good
departmental circulars, policies and guidelines conduct outlined by the NSW Ombudsman.
as they relate to their work. Managers will
assist staff in maintaining an awareness of Staff members should apply the principles
departmental standards of conduct and in of procedural fairness/natural justice and
resolving ethical dilemmas. However, this does reasonableness when exercising statutory or
not remove staff responsibility to be accountable discretionary powers. Staff members or clients
for their own actions and decisions. adversely affected by a decision must be
informed of their rights to object, appeal
The Code of Conduct covers all staff members or obtain a review.
working in the NSW Department of Health
including managers, contractors, consultants Conflicts of interest
and students. Members of the Chief Executive Staff members must avoid any financial
Service and Senior Executive Service are covered or other interest that could compromise
by a separate Code of Conduct and are also or be perceived to influence the impartial
APPENDIX
required to meet all requirements of this code. performance of their duties. Conflicts of
interest that lead to biased decision making
Personal and professional behaviour may constitute corrupt conduct.
To demonstrate staff commitment to the Conflicts of interest might occur where staff
highest ethical standards, staff are required to: (and at times their family):
● perform their duties impartially, with ● have financial interests in a matter in which
professionalism, objectivity and integrity the Department is involved
● work effectively, efficiently and economically ● are Board members, directors or employees
● behave fairly and honestly, including of outside organisations, such as
reporting others who may be behaving non-government organisations in which
dishonestly the Department has a financial interest
146
Code of Conduct
● hold personal beliefs or attitudes that gifts of a token and insignificant nature or
influence their impartiality moderate acts of hospitality. Accepting them
is a matter of judgement and staff must be
● have personal relationships with people the
satisfied that neither they nor the Department
Department is dealing with, or investigating,
is in any way compromised.
which go beyond the level of a professional
working relationship Staff must not solicit nor accept any bribe, or
other improper inducement. Any approaches
● are involved in secondary employment,
of this nature are to be reported to senior
business, commercial, or other activities
management.
outside the workplace which impact on the
Department, its clients or staff Outside employment
● are involved in party political activities If staff are full-time employees, they must
which could be perceived as using their have approval from a delegated officer to
official role to gain influence or where they engage in any secondary employment or
find themselves in conflict in serving the business activity, including participation in
current government. (Special arrangements a family company. If they work part-time they
apply to an election candidate) must advise of any real or potential conflict
of interest between their employment in the
31
● have access to information that could be
Department and any other employment.
used for personal gain
Managers are responsible for monitoring
● participate in outside activities including and following up on any impact of secondary
volunteer work which could adversely employment on the quality and effectiveness
affect the ability to do their work. of an individual’s work.
Staff members are responsible to disclose any Use of departmental resources
potential or actual conflict of interest to their
All departmental resources including funds,
manager or other senior officer. Managers will
staffing, computers, photocopiers, equipment,
assist staff in resolving the conflict through
stationery, travel and motor vehicles must be
solutions such as divestment of the interest,
used effectively and economically on work
their withdrawing from the conflict situation
related matters. Staff must seek approval to use
and declaring or documenting the interest.
departmental resources for non-official purposes
Bribes, gifts, benefits, travel and hospitality (eg. to aid in a charitable event). If authorised,
Staff members must not accept any gifts, staff are responsible for safeguarding, repairing
hospitality, travel or benefits that might in any and replacing, if lost, the Department’s property.
way tend to influence, or appear to influence, Use of computer, email and internet facilities
APPENDIX
their ability to act impartially. Staff should
To use the Department’s computer, internet and
also ensure that partners and family members
email facilities staff must agree to the conditions
are not recipients of benefits that could be
of access.These require that the facilities be
seen to indirectly influence their or secure
used for work activities in a responsible, ethical
favourable treatment.
and legal manner. Unacceptable use includes
In deciding whether to accept any gift or violation of the rights of others, commercial
benefit staff should consider the relationship use, breach of copyright or intellectual
of the Department to the donor, the primary property, illegal activity or gambling, use for
business of the donor and any possible adverse harassment, threat or discriminatory acts, storing
consequences for the Department. Approval or conveying inappropriate or objectionable
of a manager is required prior to accepting any material such as nudity, sexual activity, drug
gift or benefit. Staff may accept unsolicited misuse, crime, cruelty or violence.
147
Code of Conduct
Staff must safeguard their password access. Staff members may make an official comment
The Department monitors the network, when they are authorised to do so or when
programs and usage to ensure the integrity of giving evidence in court.The Department’s
the system and maintains records of activities. media guidelines must be followed in any
dealings with the media.When undertaking
Corruption, maladministration and serious
speaking engagements staff must comply with
and substantial waste
the Department’s policy and guidelines on
Staff members must not engage in corrupt participation in external seminars.
conduct, maladministration or serious and
substantial waste. Corrupt conduct is defined Staff must not access, use, disclose or release
in the ICAC Act 1988, the key notion being any internal departmental documents or
the misuse of public office. Corruption can privileged information unless they need
take many forms including bribery and to do so in the course of their work or are
blackmail, unauthorised use of confidential authorised to do so. Staff must protect the
information, fraud and theft. Maladministration privacy of client information as required by
is action or inaction of a serious nature that the Department’s Privacy Code of Practice.
is contrary to law; unreasonable, unjust, Security of official information
oppressive or improperly discriminatory; or
Confidential information must not be
31
based on improper motives. Serious and
disclosed other than in the course of a staff
substantial waste refers to any uneconomical,
member’s work, when required by the law
inefficient or ineffective use of funds or
or when authorised. Staff must ensure that
resources which results in significant wastage.
confidential information in any form
Staff members have a duty to report any (eg. documents, computer files) cannot be
possible corrupt conduct, maladministration accessed by unauthorised persons. It should
and serious and substantial waste of public be securely stored overnight or when
resources to their senior manager. Staff may unattended. Confidential information must
wish to report suspected incidents to an external not be discussed except in the course of
organisation with corruption being reported to work and must not be misused by staff to
the ICAC, maladministration to the Ombudsman gain personal advantage.
and waste to the Auditor-General.The Protected
Information about NSW Health staff or clients
Disclosures Act, 1994, provides certain protection
is subject to the Department’s Privacy Code
against reprisals for any staff member who
of Practice, privacy legislation and guidelines.
voluntarily reports possible corruption,
In some instances information regarding a staff
maladministration or serious/substantial waste.
member’s employment will be provided to
Managers must ensure staff members have
external bodies (eg. NSW Superannuation
APPENDIX
information about reporting these matters.

Board and the Australian Taxation Office),
Public comment and the Department will confirm details held
Although staff have the right as private citizens by financial institutions if staff have applied
to express their personal views through public for a loan or credit.
comment on political and social issues they Intellectual property/copyright
must not make nor appear to make statements
Intellectual property includes rights relating
on behalf of the Department. Public comment
to scientific discoveries, industrial designs,
includes public speaking engagements,
trademarks, service marks, commercial names
comments in the media, views expressed in
and designations, inventions, and from activity
letters to newspapers, online services (such as
in the industrial, scientific, literary or artistic
internet bulletin boards) or in publications.
fields.The Department is the owner of
148
Code of Conduct
intellectual property created by staff in The use of obscenities or offensive language

the course of their work unless a specific is unacceptable in the workplace.
agreement with the Director-General has
Occupational health and safety
been made to the contrary.
Managers must ensure that their work area
Employment screening provides for the health, welfare, physical and
The Department is committed to safeguarding psychological safety of their staff and clients.
the welfare of its staff and protecting the Specifically managers are responsible for
interests of those who rely on its services. providing safe systems of work, a safe work
Criminal record checks are undertaken on environment, supervision and information,
all recommended applicants for permanent, safe equipment and facilities, identifying
temporary or seconded employment. and controlling risks, and responding to staff
Where a pending charge or conviction is members’ reports of issues.
identified, the relevance and implications
Staff also share a responsibility for occupational
of this is carefully assessed, taking into account
health and safety by following safety and
such factors as the nature and number of
security directives, using security and safety
offences, the severity of punishment, age
equipment provided, keeping their work
and mitigating circumstances.
area tidy and safe, and raising potential safety
31
Staff members are required to notify the issues promptly.
Department’s Corporate Personnel Services
Drugs and alcohol
in writing if they are charged with or
convicted of a serious criminal offence. The misuse of alcohol and other drugs can
affect staff members’ work performance and
Discrimination, harassment and bullying jeopardise the safety and welfare of colleagues.
A staff member must not harass nor Staff must not perform their work, remain
discriminate against colleagues or clients in the workplace nor undertake work-related
for any reason including gender, physical activities if they are impaired by alcohol
appearance, pregnancy, age, race, sexual or other drugs.
preference, ethnicity or national origin,
Post employment
religious or political conviction, marital status,
physical or intellectual disability.The principles Staff members should not misuse their
of Equal Employment Opportunity apply position to gain opportunities for future
in the workplace. employment nor allow themselves to be
influenced in their work by plans for, or
Bullying is the repeated less favourable offers of, outside employment. Staff members
treatment of a person by another in the leaving the Department are required to
APPENDIX
workplace and can include verbal abuse, return all documentation and equipment,
sarcasm, criticising people in front of others and should respect the confidentiality
or in private, and creating work overload. of information obtained during their
The Department does not tolerate bullying. employment, and not use it for gain until
If staff witness discrimination, harassment it has become publicly available. Be careful
or bullying, they should do something to stop in dealings with former staff members
it if possible, and report it to their manager. to make sure that they are not given,
Direct intervention by senior management nor appear to be given, favourable treatment
may be used to resolve the issue. Grievance or access to privileged information.
procedures are available if staff believe
they have been subject to discrimination,
harassment or bullying.
149
Code of Conduct
Legislative framework ● 99/18 NSW Health Information Privacy

The Code of Conduct does not stand alone Code of Practice
nor take the place of any Act or Regulation. ● 99/43 NSW Department of Health
Important laws that apply include: Alcohol and Other Drugs Policy
● Anti-Discrimination Act 1977 ● 99/99 Electronic Messaging Policy
● Crimes Act 1900 ● 00/41 Reporting Possible Corrupt
● Commission for Children and Young Conduct to the ICAC
People Act 1998 ● 00/69 NSW Department of Health Policy
● Freedom of Information Act 1989 on Employment Screening
● Health Care Complaints Act 1993 Breaches of the Code of Conduct
● Health Services Act 1997 Staff members are required to comply
with this Code of Conduct. If staff breach
● Independent Commission Against
the code they will be subject to a range
Corruption Act 1988
of administrative actions, which include
● Occupational Health and Safety Act 1983 disciplinary action, as set out in the Public
31
● Ombudsman Act 1974 Sector Management Act 1988. Breaches of
certain sections may also be punishable under
● Privacy and Personal Information other legislation.
Protection Act 1998
Training and development
● Protected Disclosures Act 1994
The Department’s Corporate Personnel
● Public Sector Management Act 1988 Services includes training on the Code of
Conduct in its Induction Program. It also
Relevant departmental circulars
offers a range of training in areas including
(a selection – as amended from time to time)
occupational health and safety, ethics, equity,
● 93/70 Department of Health Fraud Strategy harassment and grievance handling, which
are relevant to the code. Managers have
● 95/21 Public Staff Members Contesting
a responsibility to provide their staff also
State Elections
with training on the code.
● 97/72 Grievance Policy and Resolution
Procedures Further information and feedback
If staff need further information on the
● 97/73 Freedom from Harassment Policy
Code of Conduct they should consult their
and Procedures
manager or contact Corporate Personnel
APPENDIX
● 98/101 Protected Disclosures Services. Feedback on the code is also

● 99/41 NSW Department of Health welcomed and should be sent to the Director,
Restructuring Procedures Executive and Corporate Support.
150
Fraud Policy
The Department has developed the Indicators of involvement in fraudulent

fraud control strategy in accordance behaviour could include:
with the NSW Government’s policy ● Refusing to take leave or only taking
to limit fraud exposure. leave for very short periods or shunning
promotion or transfer for fear of detection
Circular 93/70 was issued to all employees
● Gambling in any form beyond ability
of the Department to significantly raise the
to stand the loss
awareness of employees about the need for
fraud prevention, detection, reporting and ● A lavish lifestyle beyond apparent means
deterrence. It is included in the Information
● Excessive altering of manual or
for Employees Manual which is issued to
computerised records under the guise
each employee. If fraudulent behaviour is
of making authorised corrections
minimised, the risk of scarce resources being
diverted from their appropriate use in ● Refusing other employees access to
providing health services to the public, will be manual or computerised records without
significantly reduced. reasonable grounds
● Bragging about exploits, and/or carrying
Fraud defined unusual amounts of money.
32
The term ‘fraud’ is used in many contexts, and
the following are two general definitions: Responsibility for fraud control
1 Fraud, is a false representation or Responsibility for fraud control which
concealment of a material fact, to induce includes fraud prevention, detection and
someone to part with something of value. deterrence, is primarily a management
responsibility.While the Director-General has
2 Fraud is dishonesty, generally in the context
overall responsibility, general managers are
of a false representation made by means of
responsible for their respective divisions,
a statement or conduct, with the intention
directors are responsible for their branches,
of gaining a material advantage.
and this responsibility is delegated through
Examples of fraudulent behaviour could include: lower levels of management to first line
● Improper use of a corporate credit card managers. Internal audit has a role in fraud
prevention, detection, reporting and
● An excessive claim for expenses or a deterrence. It provides a constructive service
subsistence allowance to management by assessing the adequacy
● Payment of salary or wages to a and effectiveness of the system of internal
fictitious employee control in the Department, and reports on
APPENDIX
omissions, weaknesses or deficiencies to
● False recording of work attendance
management to facilitate corrective action.
and time
The Audit Branch investigates possible fraud
● Not recording leave taken or the false that it detects and allegations of fraudulent
classification of leave activity. Branch managers should ensure
● Using a departmental petrol supply card for that they monitor performance and supervise
a petrol purchase for a private purpose their staff adequately and effectively to prevent
and detect fraud.
● Acceptance of offers of kickbacks for
preferential treatment.
151
Fraud Policy
Risk assessment reviews Fraud deterrence

As managers at all levels in the Department All employees should be aware that the
are primarily responsible for fraud prevention Department will vigorously investigate
and detection, they should conduct fraud risk suspected instances of fraud. Investigations
analysis on an ongoing basis in their areas are usually conducted by the Audit Branch.
of responsibility and take appropriate counter This may involve investigations in cooperation
measures to limit that risk to a minimum level. with the NSW Police Service and/or the
ICAC.Where there is evidence of fraud,
Whistleblower protection appropriate disciplinary action in accordance
for employees with the provisions of the Public Sector
Employees of the Department are encouraged Management Act 1988 and the Regulations
to come forward and report suspected cases of thereunder will be implemented. Criminal
fraud or other forms of corrupt conduct prosecution may also be instituted, as well
without prejudice, under the provisions of the as civil action to recover any losses of public
Protected Disclosures Act 1994. If an employee money or property.
makes a report it will be treated as confidential,
and the employee will be notified of the Fraud awareness and training
32
outcome. Circular 95/60 provides further This strategy document applies and has been
information about protected disclosures. issued to all employees of the Department.
Managers should ensure that copies of this
Reporting possible corrupt conduct document are available to staff to enable staff
If an employee of the Department knows to remain aware of its contents.The Audit
about or has good reasons to suspect possible Branch intends to conduct fraud awareness
corrupt conduct, including fraudulent activity, training for managers and other staff to help
the employee must report it immediately to maintain fraud awareness.
their manager. If an employee feels that they
cannot report it to their manager, or the Code of conduct and ethics
manager does not act on the report promptly, All staff of the Department are expected to be
they can report it to: aware of the contents of the Code of Conduct.
● a manager at a higher level
● a senior officer of the Audit Branch of This is an excerpt from Circular 93/70.
the Department
● the Independent Commission Against
Corruption.
APPENDIX
152
NSW Health continues to implement ● The Health Participation Council has

substantial, comprehensive improvements been established to provide consumer and
right across the state’s public health community input into policy decisions
system under the banner of the and will provide better health information
Government Action Plan for Health. and education through an electronic
directory of health services.
Teams of doctors, nurses, managers and
consumers are leading this change process, ● The Mental Health Disaster Response
which is upgrading the public health system. Handbook has been released and has
prompted significant national and
The implementation of the Government
international interest. It has been used
Action Plan for Health has:
in the United States to assist mental health
● adopted an incremental approach to change response to the World Trade Centre attack
● invited clinicians to drive the changes, and was also used in the NSW Health
using a ‘clinical governance’ approach response to the bushfires in NSW in
December 2001 and January 2002.
● ensured that members of the NSW
community and consumers are actively ● Best practice information on five high
involved in the change process. volume surgical diagnosis related groups
33
was undertaken by the Australian Resource
The Government Action Plan for Health Centre for Hospital Innovations (ARCHI).
focuses on improving the key areas of the Best practice information is available on the
state’s health system, including acute care, NSW HealthWeb site.
intensive care, chronic health care, mental ● The strategy document Strengthening
health, Emergency Department services, Health Care in the Community, published in
and community and primary health care. May 2002, aims to improve the provision
Twelve clinical implementation working of primary health care services in NSW by
groups have identified areas of potential introducing Primary Health Care Networks
improvement and have developed a number to defined communities. Four Area Health
of new health strategies and services. Services have been provided with funds to
model primary health care networks.
● Paediatric networking was established
across NSW providing a mechanism to link ● The establishment of an Intensive Care
facilities that treat children.The networks Monitoring Unit to better manage intensive
are guided by the three children’s hospitals, care capacity and demand, and result in
Sydney Children’s Hospital, the Children’s increased standards and quality of care.
Hospital at Westmead and the John Hunter
APPENDIX
● Shared Responsibility for Patient Care
Children’s Hospital. Between Hospitals and the Community
● Clinical networks are being established – an Effective Discharge Policy was issued
to provide a statewide model that ensures and effective from July 2001.The policy
that no matter where patients access care required immediate implementation of two
they will receive quality treatment with new targets on risk screening, and the
links to senior medical specialists. development of a discharge plan, to occur
prior to admission for 100% of booked
● The NSW Institute of Clinical Excellence surgical patients, and within two days of
focuses on providing health professionals admission for 100% of emergency patients.
with better skills to ensure care is more
effective and patient focused.
153
● A draft discharge planning framework – A service plan for eating disorders

has been developed to improve outcomes in NSW is planned for release and
for all patients, their carers and families, consultation by the end of 2002.
by providing a structure for planning a – Implementation of the NSW Consumer
patient’s discharge from hospital. and Carer Framework for Participation
● The Rural Health Implementation in Mental Health is planned to begin
by the end of 2002.
Group developed strategies to provide
improved and expanded clinical services, ● The Greater Metropolitan Transition
greater opportunities for rural clinicians Taskforce (GMT2) was established in
and improved infrastructure in facilities. October 2001 to implement the
The Report of the Rural Health Implementation recommendations of the Report of the Greater
Group is due for release in 2002. Metropolitan Services Implementation Group.
● The NSW Personal Health Record – Consultations were undertaken with
Steering Committee, supported by the many program groups, including
Quality and Clinical Policy Branch, drafted complex transplantation, severe burns,
My Health Record, a document aimed spinal cord injury, brain injury
rehabilitation, bone marrow
initially at patients who suffer from chronic
33
transplantation, neurosurgery,
and complex diseases such as chronic
renal services, radiology, maternity,
obstructive pulmonary disease, asthma,
gynaecological oncology, Emergency
cardiovascular disease and cancer. Department services and Intensive
● Clinical service frameworks were being Care Unit services.
drafted for cardiovascular disease, cancer – GMT2 completed recommendations
and respiratory disease, to ensure a from consultations with cardiac and
consistently high standard of health care stroke services, and forwarded the
across all health services, regardless of recommendations to the Minister.
geographic location. – The Institute of Trauma and Injury
● A Mental Health Workplan for 2002 Management was established to
has been completed which includes provide a statewide coordination
a framework for clinical partnership of trauma services to ensure
comprehensive, accessible and
strategies, an evaluation of workforce
uniform care for injured patients.
strategies and service plans and guidelines
for the management of personality disorders. – Visits to district hospitals were
undertaken and a Metropolitan
– The papers, Strategic Framework for
Hospitals Forum was held to begin
Rehabilitation and Housing and
APPENDIX
implementation of the Metropolitan

Accommodation Support for People with
Hospitals Program.The Metropolitan
Mental Health Problems and Mental
District Hospital Report is due for
Disorders have been approved for release
release in 2002.
for consultation.
Issues such as patient safety, improved access,
– The Mental Health Non-Acute Inpatient
the appropriateness of care, efficiency and
Services Plan has begun to address
the development of bed surveillance effectiveness and consumer participation are
and forward planning for networks. at the centre of our approach to achieving and
This includes the implementation of the maintaining the highest quality health care.
accelerated beds program, in consultation
with Area mental health services.
154
Credit card certification
It was affirmed that for the 2001-02 Documenting credit card use
financial year credit card use within The following measures are used to
the Department was in accordance monitor the use of credit cards within
with Premier’s memoranda and the Department.
Treasurer’s directions.
● The Department’s credit card policy
is documented
Credit card use
● Reports on the appropriateness of credit
Credit card use within the NSW Department
card usage are periodically lodged
of Health is largely limited to:
for management consideration
● the reimbursement of travel and
● Six-monthly reports are submitted
subsistence expense
to Treasury, certifying that the
● the purchase of books and publications Department’s credit card use is within
● seminar and conference deposits the guidelines issued.
● official business use while engaged in

overseas travel.
34
APPENDIX
155
Corporate Plan
The Department’s 2001-03 Corporate Plan is revised and updated every two years
and has been developed to reflect the Strategic Directions for Health 2000-05.
The strategies in this Corporate Plan form the basis of annual Divisional Operational
Plans, which contain more detail about their implementation.
Priorities for the NSW Department of Health
Goal A Realising the Goals of NSW Health
What we will do A1.8 NSW Aboriginal Health Strategic Plan implemented

and evaluated.
A1 Support initiatives to improve the range, access to and
quality of health services across the continuum of care, A2.1 Need for evidence based practice guidelines identified
targeting priority areas. from variations in clinical practice.
A2 Promote an evidence-based approach to health care, A2.2 Needs addressed through guideline development,
mental health and public health programs. implementation and evaluation.
A3 Enhance the population-based approach to improving A2.3 Health research plan to further strengthen the
health status. knowledge base underpinning health and improve the
dissemination of the results of research.
35
A4 Strengthen accountability and performance evaluation
mechanisms to monitor the achievement of NSW A3.1 Plans and strategies in place to manage public health
Health goals. protection and improve environmental health.
A5 Develop an integrated planning, budget and A3.2 Strategies for prevention of chronic diseases and injury
performance management cycle for NSW Health to developed and implemented.
improve the planning and delivery of health services to
A4.1 Explicit and effective accountability in place at
meet health needs.
organisational and management levels across
A6 Provide support and advice to the Minister for Health NSW Health.
and manage legislative and regulatory functions.
A4.2 Regular performance evaluation carried out at every
level of NSW Health to inform continuous improvement.
Demonstrating our progress
A4.3 Department’s Corporate and operational plans regularly
A1.1 Policies arising from the Government Action Plan monitored to demonstrate accountability.
developed and implemented.
A5.1 Integrated management cycle developed and
A1.2 Service access strategies across the continuum of care implemented across NSW Health and all Divisions and
developed, implemented and monitored. Branches within the Department.
A1.3 Strategies for patient safety and clinical practice A5.2 Higher level of staff involvement in and ownership of
improvement in health services developed and Departmental planning processes achieved.
implemented.
A5.3 Strategic direction in place for service and asset
A1.4 Strategies in the NSW Health and Equity Statement are development and funding allocation within NSW Health.
developed, implemented and monitored.
A6.1 Timely, accurate and informed advice provided to
A1.5 Initiatives arising from Healthy People 2005 developed the Minister.
and implemented.
A6.2
APPENDIX
Implementation of legislative program and review in the

A1.6 Agreed recommendations arising from the NSW Drug portfolio of the Minister.
Summit implemented and evaluated.
A6.3 Compliance with Acts and Regulations administered by
A1.7 Strategies under the Second National Mental Health the Department.
Plan implemented and evaluated.
156
Corporate Plan
Goal D Working partnerships and

Goal B Sharing a clear direction engaging the community
What we will do What we will do

B1 Improve the knowledge and understanding of priorities D1 Align Departmental practice with recommendations
and policies of NSW Health. of the Government Action Plan initiatives on
community participation.
B2 Increase leadership and management capability and
foster teamwork within the Department of Health. D2 Enhance provision of information to the community
at state level and work with Health Services to
enhance the consistency and quality of information
for local communities.
B1.1 Communication strategies developed to accompany
D3 Promote partnerships as a fundamental principle
the release of NSW Health priorities and policies.
in delivering public health and health services
B2.1 Structured leadership and management skills and underlying health system reform.
assessment and development in place.
D4 Foster where appropriate the development of whole
B2.2 Cross Divisional and Branch planning groups and of government approaches to public health and
projects established. health care delivery.
D5 Enhance the capacity of communities to initiate

solutions to health issues.
Goal C Skilled valued workforce Demonstrating our progress
35
D1.1 Community participation increased in Departmental
What we will do planning, policy development, priority setting and
C1 Implement and promote an improved, comprehensive evaluation.
staff performance management system, to ensure
D2.1 Information is available to the community about the
that staff in the Department are aware of their
quality of, access to and performance of health
performance expectations and that their achievements
services at State level.
are recognised.
D2.2 Models are available for providing information such as
C2 Increase mobility and flexibility for Department staff
directories of local services and performance of health
through equitable development opportunities.
services and for encouraging community feedback.
C3 Recruit strategically to ensure that the Department has
D2.3 Develop web based information on common public
the capacity to carry out core functions and to address
health risks and programs.
emerging priorities.
D3.1 Collaborative partnerships underpin all reform initiatives.
Demonstrating our progress D3.2 Structural links and collaborations established with
C1.1 Improved system in place that includes appropriate other health service providers, peak representative
staff performance review and identification of training organisations, other government Departments and
requirements and opportunities for career progression. non-government organisations.
C1.2 Improved feedback given to staff through staff D3.3 NSW Health contributes to shaping national health
performance review. care initiatives and reforms.
C2.1 Principles established to facilitate access to D4.1 Promote effective partnerships in both the human
development opportunities for Department staff. services and natural resources sectors which enhance
the scope and effectiveness of public health action.
C2.2 Mechanism in place to monitor development
APPENDIX
opportunities. D5.1 The Department contributes to interagency approaches
to community capacity building.
C3.1 All Branches have effective recruitment practices to
respond to the needs of core functions and emerging
priorities.
157
Corporate Plan
Goal E Informed Decision Making Goal F Embracing Innovation
What we will do What we will do

E1 Provide a strategic approach to the development and F1 Develop specific initiatives that support innovation
management of information systems, technology and across NSW Health.
infrastructure throughout NSW Health.
F2 Promote and share a culture of innovation within
E2 Manage NSW Health information resources to improve NSW Health.
access and to enhance their relevance, timeliness,
accuracy and completeness. Demonstrating our progress
E3 Develop an information culture within the Department. F1.1 Results of Government Action Plan pilots and
programs communicated widely.
F1.2 Institute of Clinical Excellence established and
E1.1 Strategic plans for information management, operational.
information systems and information technology
F2.1 Mechanisms established to identify and disseminate
infrastructure developed and implemented.
information about best practice within NSW Health.
E1.2 Implementation of key components of the Integrated
F2.2 Process established to recognise innovations by NSW
Clinical Information Program – a unique patient
Health and Department staff.
identifier, patient administration, community health,
point of clinical care and GP discharge referral systems.
E2.1 Rationalisation of data holdings with increased

accessibility, timeliness and accuracy of data.
35
E2.2 Data standards, information privacy and data quality
managed in all stages of the strategic planning and
operational lifecycle of information resources.
E3.1 Increased use of technology for entering, disseminating

and retrieving information and support of operational
procedures.
APPENDIX
158
Ethnic Affairs Priority Statement
Achievements
Health
Goal Service Project title and description Achievements 2001-2002
Healthier SWSAHS Samoan Women’s Nutrition Project Increased knowledge of healthy cooking.
People
Vietnamese Support Group Mental Health support group continues to meet weekly.
Running On Empty Ran focus groups to address food security issues.
Positive Body Image Project Workshop with young Arabic girls completed.
Relationships and Gender Equity Project 30 young Lebanese Muslim boys participated in 1.5 hour
workshop.
WSAHS Women’s Health at Work – Market Training in the safe use of pesticides for women working in
Gardens Project market gardens.
Chinese Tobacco Control Project Collaboration between SWSAHS, CSAHS and Cancer
Council for Train-the-Trainer tobacco talks.
Resilience Building Program for Pacific A six-week program developed and conducted at Mt. Druitt
Islander Youth High School.
Blacktown Primary Health Team Information on parenting issues has been produced
Children Well-Being Project in a number of languages.
WSAHS Diabetes Prevention Program 25 Arabic and 11 Chinese two-hour education sessions
have been conducted.
36
Multicultural Gentle Exercise Program Walking and Tai Chi groups in Greek, Portuguese,
Vietnamese and Chinese.
CSAHS Portuguese Responsible Use of Alcohol A media campaign was followed by two ‘Drink Safe’
interventions at Portuguese clubs.
Multicultural Asian Sex Worker Outreach Project Accessing workers to provide information on HIV/AIDS,
HIV/Aids STD information and safe sex practice.
and Hep C Rapid Assessment of the needs of IDUs
Service for prevention of Hep C A report compiled and planned for national publication.
NSAHS Northern Sydney Small and Emerging Research exploring the concept of disadvantage among
Communities Project small and emerging communities.
Group Leadership Program Program for CALD community group leaders piloted and
evaluated.
SESAHS Multicultural Organisational and Document is soon to be implemented.
Workforce Development Strategy
IAHS Celebration of Health Program Health promoting activities for recently arrived migrants
and refugees.
Dementia support and information Information evenings targeting the Greek and Italian
evenings communities.
HAHS Mental Health Education Four community groups at Toronto Language School
received information on mental health.
MNCAHS Punjabi Men’s Health Day Attended by seventy-five men, ranging in age from
mid twenties to sixty and over.
Transcultural Suicide Prevention Strategy Developed a suicide prevention framework for culturally and
APPENDIX
Mental linguistically diverse communities in NSW.
Health Centre
Children’s Mental health services strategic plan A comprehensive strategic plan was developed.
Hospital* for CALD children
Fairer SWSAHS Camden Chinese Market Garden Project A wide range of services was established for the Chinese
Access speaking community at Camden.
Establishment of full-time bilingual Counsellor has commenced and offers a therapeutic service
counsellor to Vietnamese speaking clients.
WSAHS Refugee consultations Completion and distribution of WSAHS Refugee Consultation
Report.
Multicultural Men’s Health Project Established support groups for men of Arabic, Persian and
Turkish background.
CSAHS Canterbury Multicultural Youth Health Development of a youth health project targeting young
Service women.
159
Achievements (continued)
Health
Goal Service Project title and description Achievements 2001-2002
GMAHS Appointment of an interim Multicultural Improved advice to Area policy and program management.
Reference Group
IAHS Consumer consultant for people with a Employment of a consumer consultant targeting people
mental illness from CALD backgrounds.
NRAHS Cross-cultural Competency Program Two-day workshop for health professionals.
HAHS Hunter Health Directory for Migrants in Directory published and distributed.
Chinese
MNCAHS Centralised recruitment process Enhances opportunities to capture information about the
established second language skills of employees.
Children’s Enhancing communication with children Staff in the Starlight Room learning French to enable
Hospital* from Noumea children from Noumea better access.
Multicultural Expanding service delivery across NSW The agency provides gambling counselling, community
Problem education and training for gambling counselling professionals
Gambling across NSW.
Service
Quality SWSAHS The Bankstown Residential Aged Care Establishment of the first multicultural residential aged care
Health Facility Partnership facility in Sydney.
36
Vietnamese Anxiety Study Examined attitudes as to why people of Vietnamese
backgrounds do/don’t seek treatment.
Multicultural NESB Hepatitis C Demonstration Project Consultations with CALD communities and Hepatitis C
HIV/Aids and services for a community education campaign.
Hep C Service
NSAHS Cultural Diversity Policy Launched Cultural Diversity policy.
GMAHS Area Health Employee Orientation Cultural awareness training is provided to all new employees
as part of their orientation.
IAHS Service Translations Translation of information including, sample meal plans,
vaccination card and others.
CCAHS Delivery Suite Personnel Training In-service regarding regarding female circumcision.
HAHS Study of childbirth practices Study published on Pacific Islander birthing and childrearing
practices.
WAHS Cultures in the workplace program Delivered in partnership with the Alzheimer’s Association
delivered program to assist clients with Dementia.
Children’s Paediatric surgery, international links The employment and visits of doctors from over thirteen
Hospital* countries.
Better SWSAHS Bilingual Staff Project Enables a triage of NESB clients to appropriate bilingual
Value primary health nurses.
CSAHS Multicultural Business Plan The plan was developed.
Families First Training Training on culturally diverse parenting customs provided to
Early Childhood Nurses.
APPENDIX
Web Page for Area Staff A specific page for Area staff was developed and launched.
HAHS Funding model for the provision Developed a system of administration to comply with
of Interpreters financial requirements.
Training using Teleconferencing Improved cost effectiveness for the training of interpreters
in rural areas.
Multicultural Adaptation of fact sheets on women The sheet was translated into five languages and distributed
HIV/AIDS and and HIV/AIDS across NSW.
Hep C Service
Multicultural HIV/AIDS Health Service Media promotion conducted in nine relevant languages.
Web site
160
Initiatives
Health
Goal Service Project title and description Initiatives planned for 2002-2003
Healthier WSAHS Institute for Diversity in Health Care A Centre of Excellence will be established at the Auburn
People Hospital site where innovative models and approaches to
cultural equity are to be incorporated into mainstream
management and service delivery structures.
Blacktown City Mental Health Resilience A Resilience-Building Program to buffer Filipino adolescents
Building Program against emotional problems.
Hepatitis C Prevention Program Provided training through AHS and community-based
ethnic services.
SWSAHS Childbirth and Maternity Education This is a training program for community members to be
Program childbirth educators.
Men’s Health Peer Education Project The project aims to reduce the incidence of diabetes and
cardiovascular diseases in Indo-Fijian men.
Primary Health Nursing Asthma Home Asthma Action Plan for Young Children will be translated
Management Plan into five languages.
Prolonged Bottle Feeding Project Targeting infant feeding practices in Arabic and Vietnamese
communities.
Resilience Building Program for A program based on trialing a therapy program and an
Assyrian Women education campaign on suicide prevention.
36
Strong Bones/Brittle Bones Program and campaign on osteoporosis in five languages.
Community awareness of suicide The project will be based on focus groups then a seminar
risk factors for older Vietnamese and media campaign.
NSAHS Mental Health Project Held Mental Health Forum for Cantonese speaking older
people in Ryde and Hornsby.
Northern Sydney Small and Emerging Implemented community development initiatives in
Communities Project partnership with two small and emerging communities.
Water Safety Implementated resuscitation classes for CALD parents
living on the Northern Beaches.
SESAHS Sessional Bilingual Worker Program Commence implementation of the program’s two-year
business plan.
Ethnicity Data Produce a comprehensive Area population profile based on
a range of ethnicity data.
Multi-Ethnic Menopause Study Establish a project Steering Committee.
CCAHS Young People’s Psychosis Intervention Multilingual fliers to be made available.
(YPPI) Center
HAHS Chest Clinic Translation of information sheets into other languages.
Men’s Health Messages Placing signs at soccer venues.
Domestic Violence Screening Project CALD women receive culturally and linguistically
appropriate care.
IAHS Mental illness and youth of CALD Partnership between mental health services and
APPENDIX
background program multicultural services focusing on recovery and support.
Targeting women form CALD for A major cervical screening initiative targeting women of
cervical screening CALD background.
Refugee Health Strategy Commence implementation of the Area’s Refugee
Health Strategy.
WAHS Suicide Prevention Program Activities planned to address issues for youth of CALD
background.
SAHS Multicultural Festival Participated in an Afghan cultural evening.
Children’s Child Mental Health Service Implementation of the Strategic Plan.
Hospital*
Fairer WSAHS Mental Health and Pacific Islander Continue the implementation of School the Psycho-education
Access Communities Program Program.
Iranian Men’s Health Group Project Organised health information sessions on men’s issues for
the Iranian community.
The Youth Harm Reduction Project Produced report to identify the needs of young people from
CALD backgrounds.
161
Initiatives (continued)
Health
Goal Service Project title and description Initiatives planned for 2002-2003
SWSAHS Interpreters to Home and Community Developed guidelines and training for the use of interpreters
Care Services for HACC services providers.
Multicultural Respite Forum Developed partnership with the SWS Care Respite Centre
and other relevant agencies.
Health Care Interpreter Service Enhanced patient care and family participation through
Inpatient Program improved access to interpreters.
Carers of Brain Injury Project Liaised with the Brain Injury Association and Headway to
start the Arabic Carer’s Support Group.
SESAHS Cultural Diversity Leadership Study Studied the organisational climate of management in
South East Health.
Resource Directories Updated the Multilingual Health Practitioners Directory.
Appropriateness of Palliative Care Study Surveyed patients/families of CALD background who use
Palliative Care Services.
MWAHS Multicultural Health Forum Delivered message of Cross cultural training ‘Communicating
Culturally-access for all’.
HAHS Bilingual Facilitators Project Facilitated health education programs by community
members.
36
Transcultural Child Mental Health Project Developed partnership with the Department of Psychological
Mental Medicine on number of initiatives to address mental health
Health Centre issues for children of NESB background.
Children’s Children with Brain Injuries Produced Parent information sheets in five community
Hospital* languages.
Multicultural Gay men and cultural diversity project Developed a health information resource in four community
HIV/AIDS and languages.
Hep C Service
Quality WSAHS Translation Flowchart Developed, promoted and distributed the flowchart.
Health Needle and Syringe Program CALD Examined attitudes as to why people of Vietnamese
research project backgrounds do/don’t seek treatment for anxiety disorders.
SWSAHS Family Psycho Education Support Group Educated carers regarding mental illness as well as skills
for looking after themselves.
Arabic Parenting Education Network Developed a training manual and recruited bilingual
community facilitators.
SESAHS The experience of pain and its Studied the specific beliefs about pain and pain relievers
management in different CALD communities.
Survey of CALD community literacy Assess the understanding of key health issues and
concepts in CALD communities.
Consultation on the role of spirituality Developed the guidelines and training needed to address
in public health care spiritual/religious differences.
HAHS Training of overseas trained medical Developed an appropriate curriculum.
APPENDIX
personnel
Case studies of people with diabetes Initiated research on CALD groups.
in rural areas
WAHS Accessible drug and alcohol services Developed strategies to promote service accessibility to
for CALD communities those of CALD background.
Children’s Understanding nutritional problems Commenced planning of a research project.
Hospital* in Vietnamese infants
Better SWSAHS Multicultural Resource Library Compiled all existing translated materials within the
Value Macarthur Health Service in a central archive.
Advanced English Classes For Staff Covered pronunciation, idioms, grammar, verbal fluency
and report writing in the program.
NSAHS Rights and Responsibilities Promoted of rights, responsibilities and complaints
mechanisms for CALD communities.
* The Children’s Hospital at Westmead
162
Electronic service delivery
The NSW Government’s three-year ● established the Business Objects Support

Better Service Delivery Program aims to Site (BOSS) on the intranet to allow
provide better information management health professionals to develop their
and communication tools for both the own reports and share information
NSW Government and non-government via a common database
agencies. This whole-of-government
● launched the Hospital Information
strategy uses electronic technologies
Website to inform people about what
rather than paper-based directories to
happens when they go to hospital
deliver customer-focused services to the
NSW community. ● expanded the Chief Health Officer’s
Public Alerts to include asbestos and other
The BSD Program consists of the health risks, grapefruit juice alert and
computer-based components ServiceLink meningococcal disease
and ReferralLink. NSW Health is using these
● implemented WebDOHRS on the
components to exchange information with
intranet to allow Area Health Services
other agencies, refer clients, make better use
to deliver non-admitted patient data to
of resources, and identify gaps in services.
the Department.
37
Achievements during the year
Future initiatives
As part of its commitment to electronic
NSW Health aims to:
service delivery, NSW Health has:
● implement the NSW Health Supernet
● implemented the online State Notification
Telecommunications Network
and Food Safety Information System
(NAFSIS) for people in the food business ● progress the implementation of the Data
Centre Rationalisation Strategy to better
● implemented the Enterprise Test
handle electronic traffic
Environment, to allow statewide testing
of clinical applications ● develop a Central Cancer Registry System
● issued a Request for Proposal to provide ● develop a Statewide Visiting Medical
NSW Health with economic and equitable Officers Information Reporting System
telecommunications services, particularly
● implement the NSW Health Electronic
in rural areas
Information Security Policy
● begun the development of state and
● introduce the Community Health
national electronic health records via the
Information Management Enterprise
EHR*Net Project
(CHIME) for managing patient care
APPENDIX
● increased the number of online documents
● implement the Mental Health Bed
in the NSW Health Clinical Information
Surveillance System
Access Program (CIAP) Web site from
40 to 423 ● continue to expand Telehealth services.
● expanded Telehealth interactive video

services by 48, to bring the total number of
services in NSW to 157
163
Our commitment to service
Standards of service convictions, sexual orientation, disability

The NSW Department of Health will: issues and right to privacy
● respect an individual’s dignity and needs ● inform an individual of their rights under
● provide care and skill, in keeping with the NSW Mental Health Act 1990 if
recognised standards, practices and ethics admitted to a mental health facility.
● offer access to a range of public hospital An application can be made for financial
and community-based health services assistance towards travel and accommodation
costs if an individual required to travel long
● offer health care based on individual health distances in order to receive specialist medical
needs, irrespective of financial situation or treatment or dental care in the operating
health insurance status. theatre of an approved hospital. Local health
Medical records
services can be contacted for details.
Generally the public can access most hospital Compliments or complaints
or health centre medical records or files. ● All complaints are treated confidentially.
An application can be made to the health ● Compliments or complaints regarding the
service for a copy of medical records through health care or services received can be made
38
Freedom of Information (FOI).This application to any member of staff by visiting us, phoning
will incur a set fee. or writing to an Area Health Service.
All health services staff are legally and ethically ● If dissatisfied with the management of a
obliged to keep health information confidential. complaint, contact the NSW Department
Treatment services of Health:
The NSW Department of Health will: Director-General
NSW Health Department
● allow for and explain public or private
LMB 961, North Sydney 2059
patient treatment choices
Tel. 9391 9000
● clearly explain proposed treatments www.health.nsw.gov.au
such as significant risks and alternatives
● If the problem can’t be solved by the
in understandable terms
NSW Department of Health, the Health
● provide and arrange free interpreter services Care Complaints Commission, which is
● obtain consent before treatment, except in independent of the public health system,
emergencies or where the law intervenes can be contacted:
regarding treatment The Health Care Complaints Commission
APPENDIX
Locked Bag 18, Strawberry Hills 2012

● assist in obtaining second opinions.
Tel. 9219 7444
Additional information Toll free 1800 043 159
The NSW Department of Health will: TTY 9219 7555
www.hcc.nsw.gov.au
● allow the individual to decide whether
or not to take part in medical research This Appendix provides a summary of
and health student education what can be expected from the NSW
public health system.The full document
● respect an individual’s right to receive
Our Commitment to Service can be found on
visitors with full acknowledgment of
NSW HealthWeb: www.health.nsw.gov.au
culture, religious beliefs, conscientious
164
Consumer response
Health is an important issue in the In order to ensure that the Department

community and NSW Health is committed better serves the needs of consumers, in early
to ensuring it provides the best care 2000 the Minister set up the Consumer
possible to health consumers. and Community Participation Implementation
Group to specifically look at ways to improve
Many communications are received each year
how people can take part in decisions on
by letter, email or telephone, and fall broadly
services provided within NSW Health.
into the following categories:
Participants included people who use the health
● Treatment in public hospitals, service, their families or carers (consumers),
community health centres or residents of NSW, and organisations with an
by other NSW Health services interest in the health system (community).
These issues are referred to Area Health
The group focused on:
Services for response. Data on the number
● how to get information about health and
of complaints received are submitted
health services
quarterly to the Statewide Complaints Data
Collection, which was established in 1999 ● how to involve consumers and the
to monitor broad trends in health system community in decisions made about their
complaints, provide performance local health services
39
measurements in complaints handling and to ● how to involve consumers and the
improve the services NSW Health provides community in decisions made at a state
to the community. Complaints are dealt level about the health system as a whole.
with according to Better Practice Guidelines
for Frontline Complaints Handling (1998) A report, Partners in Health – Sharing Information
which is available from the NSW and Making Decisions Together, was produced
HealthWeb site is www.health.nsw.gov.au/ and included a wide range of recommendations
pmd/benchmarking/frontline.pdf. to develop participation in health service
planning at a local and state level, and to
● Serious issues provide improved health information and
Serious issues about patient care, the education.The recommendations ensure
clinical competence of health professionals, consumers and community members are
or the character or behaviour of health involved as equal partners in the health team.
professionals are referred to the Health
Care Complaints Commission (HCCC). A key recommendation of Partners in Health
was to establish the Health Participation
● Treatment in private hospitals
Council to advise the NSW Minister for
These issues are referred to the
Health on consumer and community
Department’s Private Health Care Branch.
APPENDIX
participation.The council was subsequently
(Note that private hospitals are regulated by the
formed and held its inaugural meeting on
Department, but are not part of NSW Health.)
26 March 2002. It meets bi-monthly.
● Treatment by general practitioners (GPs)
To support the Health Participation Council
These issues are referred to the NSW
and to ensure that consumers are informed
Medical Board. (Note that GPs are not part
and involved in decisions about their own
of NSW Health.)
health and the health system, the Consumer
● Departmental policy issues and Community Development Branch was
Where departmental policy is the issue, established in January 2002.
the Director of the relevant policy area,
or the Director-General if appropriate,
responds in writing to the consumer.
165
Quality
Quality in health care is about doing the ● Developing a policy, guidelines and
right thing the right way at the right time. monitoring tools to reduce the incidence
of pressure ulcers in the NSW health system.
NSW Health continues to support the clinical
governance infrastructure set out in the NSW ● Releasing policies for the standardisation
Quality Framework and has introduced a number of protocols for dealing with maternal
of initiatives and processes for the management emergencies for severe hypertension
of clinical quality in NSW health services. and pre-eclampsia.
The role of the NSW Health Quality ● Developing and releasing clinical
and Clinical Policy Branch is to improve the guidelines for the management of
health of the population by fostering strategic gastroenteritis in children.
leadership in quality and clinical practice, ● Holding a forum for public sector and
and by promoting and supporting the non government workers in Aboriginal
development, maintenance and ongoing health to workshop issues and network
evaluation of quality health services on Aboriginal health projects.
throughout the NSW health system.
● Commencing implementation of an
This is achieved by working in consultation incident management system.The first
40
and collaboration with all relevant step was the introduction of education in
stakeholders, focusing on research, analysis root cause analysis, the methodology that
and education, using best available evidence, assists in identifying the root cause of
effective communication, and by optimising a systemic problem.
available resources.
● Preparing and publishing the first Safety
Advocate.The Advocate describes the
Major achievements
common underlying causes of an incident
● Developing and releasing the Guideline
or event, suggests steps to prevent
on the Management of a Complaint
occurrences in the future and provides
or Concern about a Clinician, that assists
information sources to assist organisations in
organisations dealing with a complaint
reviewing and updating their own systems.
or concern about a clinician as far as
possible at a local level. ● Fostering the commencement of the
Consumer Education Project, that aims
● Establishing demonstration projects in
to improve the knowledge and involvement
Area Health Services (AHS) and the
of health care consumers and community
Corrections Health Service to develop
representatives, through the development
models of care that are effective in
and implementation of a training program.
APPENDIX
addressing prevention and management

of vascular disease in Aboriginal people. ● Holding the second ‘Quality Week’ in
conjunction with the ‘Baxter NSW Health
● Releasing the Clinician’s Toolkit for Improving
Awards’.The focus of ‘Quality Week’
Patient Care.The Toolkit provides clinicians
were activities occurring at local levels
with an overview of the pragmatic
to inform and involve consumers and
scientific methodology that can be used
health professionals in quality improvement
to identify and review problems with
in health care.
an individual clinician’s practice.
166
Quality
● Holding a statewide forum that allowed ● Developing and releasing end-of-life

AHSs to share their quality improvement decision making guidelines.
strategies.
● Updating and releasing the revised
● Contributing to the development of NSW Health Pregnancy Care Book.
priority initiatives for the Australian
● Developing a discussion paper for the
Council on Safety and Quality in Health
regulation of complementary medicine
Care, in collaboration with the State
practitioners.
Quality Officials Forum.
● Releasing an application form and an
Future initiatives education package for committees seeking
the protection of qualified privilege.
● Releasing Clinical Service Frameworks for
Chronic and Complex Care – respiratory ● Developing a model policy for the safe
disease, heart failure and cancer. introduction of new interventions into
clinical practice.
● Developing education and training manuals
on cardiovascular disease, diabetes and ● Holding the 2002 ‘Baxter NSW Health
kidney disease in Aboriginal people. Awards’.The 2002 Awards focus on quality
in health care, health outcomes and the
40
● Releasing the My Health Record.The record,
potential to implement the winning
to be carried by patients when visiting
projects across the NSW health system.
health care providers, summarises past and
current conditions and treatments. It is ● Developing a strategy on safe hours
initially aimed at patients who suffer from of work for health care workers such
chronic and complex diseases such as as medical practitioners and nurses.
COPD, asthma, cardiovascular disease and
● Releasing a policy and clinical practice
cancer, and who need to access a number
guidelines on the management of fresh
of medical services on a regular basis.
blood components.
● Establishing a point of contact in each AHS
● Implementing relevant initiatives of the
for chronic and complex care patients.
Australian Council on Safety and Quality
● Establishing a cosmetic surgery in Health Care.
credentialing council.
● Releasing paediatric clinical guidelines
on asthma, abdominal pain, bronchiolitis,
croup, fever, head injury, meningitis,
otitis media, sore throat and seizures.
APPENDIX
● Developing a strategy for examining
the appropriateness of cholecystectomy
and cataract procedures.
● Developing indicators to measure activities
in four main areas – falls in hospital,
medication errors, hospital acquired
infections and pressure ulcers.
167
Performance Audit reports
conducted by Audit office – implementation
Listed hereunder is a situation report on

the implementation of recommendations
as contained in the Audit Office
performance audit Hospital Emergency
Departments – Delivering Services
To Patients
The performance audit report contained

26 recommendations of which:
● five have been implemented
● one is expected to be completed in 2002
● eight have been partially implemented
● twelve have been substantially implemented.
41
APPENDIX
168
Infectious disease notifications in NSW
1992-2001
Conditions 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
AIDS 432 480 552 473 368 200 173 108 119 69
Adverse event after immunisation 31 23 40 28 56 70 94 13 42 103
Total Arboviral 341 656 382 534 1,225 1,804 780 1,218 974 1,181
– Barmah Forest virus infections* 6 25 40 271 172 186 134 249 195 398
– Ross River virus infections* 324 599 332 236 1,031 1,597 583 953 749 717
– Other* 11 32 10 27 22 21 63 16 30 66
Blood lead level >=15ug/dl* not notifiable until December 1996 712 874 709 988 470
Botulism 0 0 0 0 0 0 0 1 0 0
Brucellosis* 2 4 4 2 1 3 3 2 1 0
Chancroid not notifiable until December 1998 1 0 0
Chlamydia trachomatis infections* not notifiable until August 1998 2,438 3,465 4,451
Cholera* 0 1 0 1 3 1 1 2 0 1
Cryptosporidiosis* not notifiable until December 1996 157 1,130 121 133 192
Food-borne illness(NOS) 253 106 213 270 211 255 201 151 129 49
Gastroenteritis (institutional) 502 443 296 1,359 554 939 738 673 697 776
Giardiasis* not notifiable until August 1998 1,091 976 965
Gonorrhoea* 491 382 357 428 522 636 1,051 1,279 1,047 1,341
Total H.influenza* 217 124 61 29 13 17 11 13 8 9
– epiglottitis 57 32 21 6 2 5 1 2 2 1
– meningitis 103 53 17 11 4 3 3 3 1 2
– septicaemia 26 24 12 8 3 1 4 6 4 2
– NOS 31 15 11 4 4 8 3 2 1 4
HIV infection* 705 599 506 543 459 432 413 387 360 347
Haemolytic uraemic syndrome not notifiable until December 1996 3 6 11 9 2
Hepatitis A* 904 579 586 614 958 1,426 926 406 194 195
42
Hepatitis B: acute viral* 113 96 75 63 43 52 53 64 96 88
Hepatitis B: other* 3,092 3,551 3,958 3,982 3,504 3,155 2,907 3,405 3,853 4,460
Hepatitis C: acute viral* 26 22 17 32 18 19 111 102 216 251
Hepatitis C: other* 3,913 5,928 7,883 6,913 7,034 6,953 7,155 7,622 7,349 7,821
Hepatitis D* 8 12 19 19 9 11 3 13 10 12
Hepatitis E* 0 1 2 0 3 6 4 7 9 6
Influenza* not notifiable until December 2000 244
Total Legionnaires’ disease 104 66 60 75 74 33 46 41 41 67
– L. longbeachae* 14 13 8 16 30 9 19 12 12 28
– L. pneumophila* 80 34 30 35 34 18 22 22 26 38
– NOS 10 19 22 24 10 6 5 7 3 1
Leprosy 7 5 3 3 2 0 0 1 2 3
Leptospirosis* 21 16 14 6 33 33 50 55 53 65
Listeriosis* 13 12 10 14 22 23 28 22 18 12
Malaria* 110 174 184 96 203 173 157 173 228 153
Total Measles 805 2,348 1,484 596 191 273 119 32 32 30
– Laboratory confirmed cases* 76 460 302 138 35 98 19 13 20 16
– other 729 1,888 1,182 458 156 175 100 19 12 14
Total Meningococcal disease 122 153 142 113 161 219 184 215 249 232
– Type B* 3 7 7 23 35 54 55 94 91 85
– Type C* 4 6 9 8 35 54 55 59 63 35
– Type W135* 0 0 0 1 0 2 4 4 3 2
– Type Y* 0 1 1 0 1 0 7 1 7 2
– Other 115 139 125 81 90 109 63 57 85 108
Mumps* 23 13 11 14 27 29 39 32 92 28
Paratyphoid* 8 9 11 12 15 5 9 4 13 11
Pertussis 217 1,533 1,405 1,370 1,156 4,250 2,311 1,415 3,681 4,435
Pneumococcal disease (invasive)* not notifiable until December 2000 434
APPENDIX
Psittacosis* not notifiable until December 2000 37
Q Fever* 213 404 267 202 287 258 235 164 130 139
Total Rubella* 324 1,186 233 2,376 636 153 78 46 190 58
– Rubella* 324 1,184 229 2,375 631 153 78 45 190 58
– Rubella (Congenital)* 0 2 4 1 5 0 0 1 0 0
Salmonella infections* 802 980 1,101 1,365 1,224 1,698 1,811 1,424 1,386 1,637
Shigellosis* not notifiable until December 2000 132
Total Syphilis 877 738 974 832 662 513 597 521 531 502
– <1 year duration* 3 6 29 135 71 57 44 89 73 53
– congenital 1 0 2 7 3 4 1 3 2 3
– Other* 873 732 943 690 588 452 552 429 456 446
Tetanus 2 5 4 0 1 3 3 1 2 0
Tuberculosis* 394 389 394 443 410 422 383 480 445 415
Typhoid* 20 28 25 27 30 28 18 32 26 31
Verotoxin – producing Escherichia coli infections* not notifiable until December 1996 0 2 0 1 1
* lab-confirmed cases only.

NOS = Not Otherwise Specified.
Following diseases have not been notified since 1991: Diphtheria*, Granuloma inguinal*, Lymphogranuloma venereum*, Plague*, Poliomyelitis*,
Rabies, Typhus*, Viral haemorrhagic fever, Yellow fever.
169
a Number of staff employed in the
NSW public health system
Number of staff employed (by award)

in the NSW public health system (full time equivalent)
2001/02 2000/01 1999/2000 1998/99 1997/98
Medical 6,175 6,140 5,969 5,751 5,720

Nursing 33,603 33,325 33,356 33,303 32,974
Administration and Clerical 10,958 10,773 10,608 10,860 10,921
Hospital Employees (eg Wardsmen, Hospital Assts) 14,860 14,747 14,743 14,783 14,688
Hospital Employees – Technical 2,350 2,343 2,242 2,248 2,233
Engineering and Trades Staff 1,198 1,256 1,244 1,247 1,239
Ambulance – Uniform 2,695 2,662 2,585 2,524 2,385
Other 12,248 11,419 10,767 11,021 11,056
TOTAL 84,087 82,665 81,514 81,737 81,216
All figures are as at 30 June 2002.
Source: DOHRS Reports 30 June 2002
43
APPENDIX
170
Number of registered
health professionals in NSW
The number of registered health professionals 2001-2002 – as at 30/06/02

Health professional Total
Chiropractors 1,078
Chiropractors and Osteopaths 216
Dental Technicians 666
Dental Prosthetists 405
Dentists 4,112
Enrolled Nurses 16,076
Medical Practitioners 25,307 *
Optical Dispensers 1,358
Optometrists 1,502
Osteopaths 242
Pharmacists 7,134
Physiotherapists 5,789
Podiatrists 720
Psychologists 7,156
Registered Nurses 77,694
44
* figures supplied by the Medical Board: • 22,172 practitioners currently holding general registration.
• 2,136 practitioners currently holding conditional registration.
• 999 practitioners are currently retired/non-practising.
Note: that figures for Dentists, Medical Practitioners and Pharmacists have been provided by their individual Boards.
APPENDIX
171
History
1788 The NSW public hospital system began 1986 Area Health Boards were established in
with the establishment of The Colonial the Sydney, Newcastle and Wollongong
Medical Service.This was essentially regions of the state.They replaced a
a hospital medical service for convicts. large number of individual hospital
When the transportation of convicts to boards.This enabled greater autonomy
NSW ceased in 1841, convict hospitals and authority to be transferred to the
were handed over to civilian control. local administration.
While the government exercised little
1988 The number of urban Area Health
control over their operations, it did
Services was reduced from 23 to 10.
provide some financial assistance.
1990 The Ambulance Service Act 1990 came
1850s Public health administration began
into effect replacing the 1976 Act.
and was concerned with sanitation
Under this new Act ambulance staff
and infectious diseases.
are referred to as employees of the
1881 The first Board of Health was ‘Ambulance Service of NSW’.
established in NSW as a specific
1993 The six country health regions were
response to the smallpox epidemic.
expanded into 23 District Health Services.
45
1896 The first Public Health Act was
1995 Eastern Sydney and Southern Sydney
introduced in NSW.
Area Health Services were amalgamated
1929 The Public Hospitals Act brought the to form the new South Eastern Sydney
regulation and quality assurance of Area Health Service, reducing the
hospitals under government control. number of metropolitan Area Health
The Act also established the Hospitals’ Services to nine.
Commission of NSW, which operated
1996 Eight Rural Health Services formed,
separately from the Board of Health.
replacing 23 District Health Services.
1960s Developments in service provision The national Australian Red Cross
lead to recognition of the need to Blood Service (ARCBS) was established
integrate hospital care with public to integrate state and territory blood
and community health. Decentralisation transfusion services.
of the administration of health also
1998 The Health Services Act 1997 came into
commenced at this time, with regional
effect.The Act replaced the Public
offices of the Commission established
Hospitals Act 1929 and the Area Health
throughout the state.
Services Act 1986.The Act gives statutory
1973 The NSW Health Commission was recognition to the important role of
APPENDIX
established, bringing state psychiatric health promotion and education,

hospitals, community health services community health and environmental
and public health programs under the health services. Area Health Services
administration of a single statutory have a responsibility for this in addition
authority – the same body as that to providing treatment services. Rural
responsible for public hospitals. Health Services now have the same
status as Metropolitan Health Services.
1982 The NSW Department of Health was
established under the Health Administration 1999 The functions of the NSW Blood
Act to create a simpler, more efficient Transfusion Service (NSWBTS) were
organisational structure able to meet the transferred to Australian Red Cross
changing needs of the community. Blood Service (ARCBS) effective as
of 1 July 1999.
172
2001 Baxter Better Health Awards
Attributes Goals
Sharing a clear direction Healthier people

Winner Excellence Winner Excellence
South Eastern Sydney AHS – SEHO, Journey for Implementing Central Coast AHS – Mental Health, Young People Early
Government Action Plan, Elizabeth Koff Psychosis Intervention Program, Deb Howe
Winner Innovation Winner Innovation

Greater Metropolitan Services Implementation Group – South Western Sydney AHS – Campbelltown Hospital,
Government Action Plan Unit, Greater Metropolitan Services Drugs in Pregnancy Project, Louise Clifford
Implementation Group, John Blackwell
Fairer Access
Skilled, valued workforce
Winner Excellence
Winner Excellence
Hunter AHS – Maitland Hospital, Paediatric Surgery Outreach
Central Coast AHS – Learning and Development Service, Pilot Study, A/Professor Trish Davidson and Leanne Crittendon
Training Program in Aggression Minimisation,
Dr Maggie Christensen Winner Innovation
Macquarie AHS – Wellington Community Health Centre,
Winner Innovation
Way Cool Program, Nicolla Giddings
Department of Health – Executive and Corporate Support,
Recruitment Refresher, Steve McNab Quality health care
Highly Commended Winner Excellence
46
New England AHS – Gunnedah Health Service, Central Sydney AHS Service – Quality Unit, Sentinel Event
Numerical Profile, Pam Grosser Program, Wendy Jamieson
Winner Innovation
Engaging the community
Children’s Hospital at Westmead – CPI Coordination,
Winner Excellence Pressure Area Prevention, Linda Justin
Illawarra AHS – Division of Population Health Planning,
Big Baby Small Baby, Iris McLeod/Theresa Hoynes Better value
Winner Innovation Winner Excellence
Wentworth AHS – Area HIV and Sexual Health, South Eastern Sydney AHS – St George Hospital,
Low Literacy Safe Sex Resource, Elizabeth O’Neill Trauma Case Management, Kate Curtis
Winner Innovation
Working partnerships
Northern Sydney AHS – Northern Beaches Child and Family
Winner Excellence Health Team, The Motor Screening Project, Kerry Gwynne
Northern Rivers AHS – Public Health, Tooti Fruity Veggie,
Jillian Adams Minister for Health peak award
Winner Innovation Winner
Wentworth AHS – Drug, Alcohol and HIV Services, Northern Rivers AHS – Public Health, Tooti Fruity Vegie
Community Education – Methadone and the Needle Syringe
Winner
Project, Louise Maher
South Western Sydney AHS – South Western Sydney Medical
and Clinical Services, Better Management of Acute Chest Pain
Informed decision making
in the Emergency Department
Winner Excellence
APPENDIX
South Western Sydney AHS – SWSAHS Medical and Clinical
Services, Better Management of Acute Chest Pain in the
Emergency Department, Dr Charles Pain
Embracing innovation
Winner Innovation
South Eastern Sydney AHS – St George Hospital,
Nurse Initiated Narcotic Analgesia, Margaret Fry
Winner Innovation
New England AHS – Rural Health Education and Research
Centre, Using Vet to Rejuvenate Learning Exchange,
Dr Ross Hartley
Winner Innovation
Hunter AHS – Maitland Hospital, Bucket Emptying Device,
John Sams
173
Overseas visits by staff
Dr Rob Bishop – Staff Specialist,Wentworth Area Leigh Cowley – Project Manager, South Western
Health Service: Study Tour to research NHS Direct, Sydney Area Health Service: The Mental Health
England. (General Funds) Service 11th Annual Conference, New Zealand.
(General Funds)
Shelley Bowen – Acting Manager HPSS:
17th World Health Promotion Conference ‘Investment Christopher Crawford – Chief Executive Officer,
for a Just Society’, France. (General Funds) Northern Rivers Area Health Service:
Learning Set in Queenstown, New Zealand.
Robert Bruseker – Clinical Nurse Specialist,
(General Funds)
Illawarra Area Health Service: The Mental Health
Service 11th Annual Conference, New Zealand. Bernadette Dagg – Suicide Prevention
(General Funds) Coordinator, NSW Department of Health:
The Mental Health Service 11th Annual Conference,
Sandie Carpenter – Service Director, Central
New Zealand. (General Funds)
Coast Area Health Service: The Mental Health
Service 11th Annual Conference, New Zealand. Lorna Davin – Education Officer, Hunter Area
(General Funds) Health Service: Association of Medical Educators
Conference, New Zealand. (General Funds)
Desley Casey – Deputy Chairperson,
Mental Health Consumer Network, Northern Dr David Doolan – Acting Area Director,
Sydney Area Health Service: World Assembly Health Improvement and Information Services,
47
for Mental Health, Canada. (General Funds) Central Coast Area Health Service: Health Services
and Policy Research Conference, New Zealand.
Dr Steevie Chan – Manager, Clinical Services
(General Funds)
Planning, NSW Department of Health:
South African Recruitment Drive. (General Funds) Dr Paul Douglas – Staff Specialist, Hunter Area
Health Service: Study Tour of the Veteran Affairs
Amanda Christensen – Manager, NSW
organisation, USA. (General Funds)
Tuberculosis Program, NSW Department
of Health: 32nd International Union Against Patricia Edwards – Accreditation Coordinator,
Tuberculosis and Lung Disease World Conference Hunter Area Health Service: International Society
on Lung Health, France. (General Funds) for Quality Improvement in Healthcare, Argentina.
(General Funds)
Trudy Coffey – Chief Social Worker, South West
Sydney Area Health Service: International Social Kerry Fagan – Senior Hospital Scientist,
Work Conference in Health and Mental Health, Hunter Area Health Service: Third European
Finland. (General Funds) Cytogenetics Conference, Metasystems Workshop,
ULM University visit, Germany and France.
Jennifer Collins– General Manager, Macarthur
(General Funds)
Health Service, South West Sydney Area
Health Service: South African Recruitment Drive. Dr Michael Flynn – State Medical Controller,
(General Funds) Ambulance Service of NSW: 2002 Australian
Disaster Medicine Group Conference, New Zealand.
APPENDIX
Patreena Collins – Team Leader, Mid Western

(General Funds)
Area Health Service: The Mental Health
Service 11th Annual Conference, New Zealand. Christopher Foster – Nurse Manager, Far West
(General Funds) Area Health Service: Inaugural Conference of
International Network of Nurse Practitioners and
Bets Conway – Clinical Trial Coordinator,
Advanced Practise Nurses, Ireland. (General Funds)
Central Coast Area Health Service: The Cardiac
Society of Australia and NZ 48th Annual Scientific Sean Fraser – GP Project Officer,Wentworth
Meeting, New Zealand. (General Funds) Area Health Service: The Mental Health Service
11th Annual Conference, New Zealand.
Dr David Cooper – Acting Director Counter
(General Funds)
Disaster Unit, Ambulance Service of NSW:
2002 Australian Disaster Medicine Group
Conference, New Zealand. (General Funds)
174
Andrew Gibbs – Senior Policy Analyst, Eugene McGarrell – Area Director, Mental
NSW Department of Health: 2nd NZ/Australia Health, Illawarra Area Health Service: World
Health Services and Policy Research conference, Forum for Mental Health – Innovations in Psychiatry
New Zealand. (General Funds) 2002, England. (General Funds)
Dr Anthony Gill– Drug Programs Bureau, David McGrath – Manager, Drug Programs
NSW Department of Health: Psychostimulant Bureau, NSW Department of Health:
Study Tour, England. (General Funds) InterGovernmental Committee on Drugs,
Dr Jennifer Gray– Director, Drug Programs
Bureau, NSW Department of Health: Cliff Meldrum – Lab Manager, Hunter Area
InterGovernmental Committee on Drugs, Health Service: 51st Annual Meeting of
New Zealand. (General Funds) The American Society of Human Genetic, USA.
(General Funds)
Warren Hickson – Prince Henry/Prince of Wales
Hospital Group, South East Sydney Area Health Dr Sam Mesiano – Endocrine Unit, Hunter Area
Service: South East Australasian Hospitals Health Service: Myometrical Satellite Symposium,
Benchmarking Consortium, New Zealand. and 49th Annual Meeting of the Society for
(General Funds) Gynaecologic Investigation, USA. (General Funds)
Douglas Holmes – Mental Health, Greater Murray Sarah Michael – Senior Analyst, Quality and
47
Area Health Service: The Mental Health Service Clinical Policy, NSW Department of Health:
11th Annual Conference, New Zealand. Study Tour of the Veteran Affairs organisation, USA.
(General Funds) (General Funds)
Natalie Irwin– Clinical Nurse Educator, Linda Millar – Clinical Psychologist, Illawarra Area
Central Coast Area Health Service: Health Service: International Neuropsychological
2001 Australasian Nurse Educators Conference, Society 30th Annual Meeting in Toronto, USA.
New Zealand. (General Funds) (General Funds)
Louisa Jorm – Director, Epidemiology and Jonathan Milligan – Manager, Sterilising
Surveillance, NSW Department of Health: Department, South East Sydney Area Health
Conference on Monitoring Health Behaviours Service: Standards Australia Subcommittee
and subsequent meetings, Finland Visit Key Sites HE-002-007 Meeting, New Zealand.
for Public Heath Surveillance, United Kingdom. (General Funds)
(General Funds)
Rebecca Mitchell – Senior Policy Analyst,
Graeme Malone – Health Services Manager, NSW Department of Health: 6th World conference
Ambulance Service of NSW: UK Study Tour on Injury Prevention and Control, Montreal.
and Ambex 2002 Conference. (General Funds) (General Funds)
Carol Martin – Project Officer, Illawarra Jane O’Connell– Director, GAP Unit,
Area Health Service: The Mental Health Service NSW Department of Health: Study Tour to
APPENDIX
11th Annual Conference, New Zealand. research NHS Direct, England. (General Funds)
(General Funds)
Robert O’Donohue – Area Clinical Projects
Elizabeth McCall– Byron Bay Hospital, Coordinator,Western Area Health Service:
Northern Rivers Area Health Service: Triennial Evaluate products in South Auckland, NZ and
Midwives Congress,Vienna. (General Funds) Melbourne for the adoption of electronic summary
systems for NSW Health. (General Funds)
Bob McDonald – Manager, Performance
Improvement Unit, Hunter Area Health Service: Dr Ian O’Rourke – Chief Executive Officer,
Visit key sites in USA to examine the Balanced Institute for Clinical Excellence, NSW Department
Scorecard System. (General Funds) of Health: Veteran’s Administration Training Course,
USA (General Funds)
175
– Superintendent, Ambulance Service

Peter Pilon Lynda Smart – Policy Officer, Statewide Services
of NSW: The Advanced Medical Priority Dispatch Development Branch, NSW Department
Systems Conference, study tour and site visits, of Health: Study Tour to research NHS Direct,
USA. (General Funds) England. (General Funds)
Prof Beverley Raphael – Director Mental Health: George Smith – Station Officer, Ambulance
26th Congress of the World Federation for Mental Service of NSW: 2002 Australian Disaster Medicine
Health, Canada. (General Funds) Group Conference, New Zealand. (General Funds)
Susanne Reynolds – Mental Health Liaison Linda Smith– Director, Finance, Northern
Officer,Western Sydney Area Health Service: Sydney Area Health Service: The Joint CHIC/
The Mental Health Service 11th Annual Conference, HISA European Program, London and Europe.
New Zealand. (General Funds) (General Funds)
Andrew Roberts – Team Leader, Mid Western Brenda Spencer – Carer Advocate,Wentworth
Area Health Service: The Mental Health Service Area Health Service: The Mental Health Service
11th Annual Conference, New Zealand. 11th Annual Conference, New Zealand.
(General Funds) (General Funds)
Maureen Robinson – Policy, Public Health Dr Greg Stewart – Chief Health Officer,
NSW Department of Health: 18th International NSW Department of Health: 7th European
47
Conference of the International Society for Quality Forum on Quality in Health Care and study tour,
in Health Care, Argentina, visit to the Joint United Kingdom. (General Funds)
Commission for the Accreditation of Health Care
Megan Still – Occupational Therapist,
Organisations, Chicago and the Institute for Health
South Western Sydney Area Health Service:
Care Improvement, Boston. (General Funds)
World Federation of Occupational Therapy
Angela Royan – Clinical Nurse Specialist, Hunter International Conference, Sweden. (General Funds)
Area Health Service: Stroke Society of Australasia
Anna-Marie Styles-Tape – Operations Manager,
2001 Annual Scientific Meeting, New Zealand.
Hunter Area Health Service: World Conference
(General Funds)
on Surgical Patient Care, New Zealand.
Lea Samuels – Project Manager, NSW General (General Funds)
Practitioners Information Management and
Christine Sullivan – Clinical Nurse Consultant,
Technology Strategy: Evaluate products in South
Wentworth Area Health Service: Australasian
Auckland, NZ and Melbourne for the adoption of
Diabetes in Pregnancy Society Conference,
electronic summary systems for NSW Health.
(General Funds)
Dr Taleyarkhan– Dental Officer, Illawarra
Margaret Scott – Program Manager, Aboriginal
Area Health Service: Conference By 3M Unitek,
Vascular Health Program, NSW Department
of Health: Study tour of models of chronic disease
APPENDIX
prevention and care in Minnesota and Wisconsin, Jennifer Thompson – Clinical Nurse Specialist,
USA. (General Funds) South Eastern Sydney Area Health Service:
The Mental Health Service 11th Annual Conference,
Dr Tony Sherbon – Chief Executive Officer,
Illawarra Area Health Service: Visit sites in
Singapore and America to examine the operation of David Whealing – Mental Health, Greater Murray
point of care information systems. (General Funds) Area Health Service: The Mental Health Service
11th Annual Conference, New Zealand.
(General Funds)
176
Selected NSW Department of Health
significant committees
Allied Health Consultative Forum National Intergovernmental Committee on Drugs

Janet Anderson (Chair), Director, Primary Health Dr Jennifer Gray (Chair), Director, Drug Programs
and Community Care. Bureau, Public Health, NSW Health.
Bed Management Advisory Committee National Methadone and Other Treatment Committee
Robert McGregor (Chair), Deputy Director-General, Dr Jennifer Gray (Chair), Director, Drug Programs
Operations. Bureau, Public Health, NSW Health.
Capital and Asset Management Committee NGO Advisory Committee

Robert McGregor (Chair), Deputy Director-General, Janet Anderson (Chair), Director, Primary Health
Operations. and Community Care.
Department of Health Corporate Planning Committee Non-Government Organisations Advisory Committee

Robert McGregor (Chair), Deputy Director-General, Assoc Prof Debora Picone (Chair), Deputy
Operations. Director-General, Policy.
Departmental Rural Liaison Group NSW Aboriginal Health Partnership

Kathy Meleady (Chair), Director, Statewide Services Director-General (Co-chair), NSW Health.
Development Branch.
Sandra Bailey (Co-chair), Aboriginal Health and
48
Finance and Performance Management Committee Medical Research Council of NSW.
Robert McGregor (Chair), Deputy Director-General, NSW Aboriginal Maternal and Infant Health Strategy
Operations. Advisory Group
Dr Elisabeth Murphy (Chair), Clinical Consultant,
Fluoridation of Water Supplies Advisory Committee
Primary Health and Community Care.
Dr Alan Patterson (Chair), Chief Dental Officer.
NSW Department of Health Ethics Committee
General Practitioner Advisory Committee
Dr Lee Taylor (Chair), Manager, Surveillance
Dr Ruth Ratner (Chair), General Practitioner.
Methods Branch, Centre for Epidemiology
Health Equity Alliance and Research.
Janet Anderson (Chair), Director, Primary Health NSW Department of Health, Research and
and Community Care. Development Advisory Committee
Prof Stephen Leeder (Chair), Dean, Faculty of
Health Participation Council
Medicine, University of Sydney.
Wendy McCarthy (Chair).
NSW Department of Health, Teaching and
Infectious Diseases Advisory Committee
Research Implementation Group
Ross O’Donoughue (Chair), Director, Health Prof Stephen Leeder (Co-chair), Dean, Faculty
Protection, Public Health, NSW Health. of Medicine, University of Sydney.
APPENDIX
Information Management and Technology Jill White (Co-chair), Dean, Faculty of Nursing,
Committee University of Technology, Sydney.
Director-General (Chair), NSW Health.
NSW Health Area of Need Advisory Committee
National Expert Advisory Committee on Drugs Dr Greg Stewart (Co-chair), Chief Health Officer,
Dr Jennifer Gray (Chair), Director, Drug Programs Deputy Director-General, Public Health.
Bureau, Public Health, NSW Health.
177
Selected NSW Department of Health
significant committees
NSW Health Medical Workforce Liaison Committee Ministerial Advisory Committee on the
Margaret Banks (Chair), Manager, Medical Nursing Workforce
Education Training and Workforce, Public Health, Judith Meppem (Chair), Chief Nursing Officer.
NSW Health.
Ministerial Council on Quality in Health Care
NSW Health/NSW EPA Strategic Liaison Group Dr Ross Wilson (Chair), Royal North
Dr Greg Stewart (Co-chair), Chief Health Officer, Shore Hospital.
Deputy Director-General, Public Health.
Performance Agreement Steering Committee
NSW Health/NSW Department of Local Robert McGregor (Chair), Deputy Director-General,
Government Strategic Liaison Group Operations.
Dr Greg Stewart (Co-chair), Chief Health Officer,
Deputy Director-General, Public Health. Performance and Finance Committee
Director-General (Chair), NSW Health.
NSW Maternity Services Planning Group
Janet Anderson (Chair), Director, Primary Health Policy Development Committee
and Community Care Branch. Michael Reid (Chair), Director-General

(until November 2001).
NSW Physical Activity Task Force
Robert McGregor Acting Director-General
Prof Adrian Bauman (Chair), Public Health and
48
(until June 2002).
Community Medicine, University of NSW.
Rural Hospital and Health Service Program
NSW Public Health Forum Committee
Prof Stephen Leeder (Chair), Dean, Faculty of Robert McGregor (Co-chair), Deputy
Medicine, University of Sydney. Director-General, Operations.
NSW Health Survey Program Steering Committee Assoc Prof Debora Picone (Co-chair), Deputy
Prof Peter Sainsbury (Chair), Director, Division Director-General, Policy.
of Population Health, CSAHS.
Tuberculosis Advisory Committee
Ministerial Advisory Committee on AIDS Strategy Dr Jeremy McAnulty (Chair), Assoc. Director,
Dr Roger Garsia (Chair), Premier’s Council Health Protection, Public Health, NSW Health.
for Women.
Senior Officers Procurement Committee
Ministerial Advisory Committee on Hepatitis Director-General (Chair), NSW Health.
Prof Geoffrey McCaughan (Chair), Royal Prince
State Continuous Improvement Steering Committee
Henry Hospital.
Deborah Green (Chair), Chief Executive Officer,
Ministerial Advisory Committee on Private Hospitals South Eastern Sydney Area Health Service.
and Day Procedure Centres
APPENDIX
Irene Hancock (Chair), Consumer Representative.
178
Consultants used by the
Consultancies equal to or more than $30,000
Consultant $ Cost Title/Nature
Finance and accounting/tax

KPMG Consulting 30,922 Financial review of the Australian Red Cross Blood Service.
Pricewaterhouse Coopers 76,075 Actuarial services in relation to Medical Indemnity Reform.
Sub-total 106,997
Information technology
AXIS Technology 95,049 Mental Health Outcomes and Assessment Training.
Doll Martin Associates 40,350 Electronic Client Referral Project.
Hunter Valley Research Foundation 56,093 Develop guidelines for Graphical Presentation of Population Health Statistics.
KPMG Consulting 53,454 Process Mapping for the Operating Theatre Management Project.
Telehealth Statewide Booking 34,000 Telehealth Booking and Reporting System.
Sub-total 278,946
Management services
CCORE – Dr Geoff Delaney 36,364 Assessment of Linear Accelerator Throughput in NSW.
David Caple 31,400 Mobile Dental Vans Review.
Deloittes Consulting 37,500 Provision of Key Performance Indicators to monitor Strategic Performance
of Health System.
Jane Elkington 35,955 Evaluation of the General Carer Demonstration Projects.
Gabrielle Kibble 33,540 External Review and Evaluation Reference Group – Government Action Plan
49
for Health.
KPMG Consulting 66,798 Review of costing needs and systems in NSW.
KPMG Consulting 31,553 Review of Renal Dialysis Services in NSW.
LAETA 75,455 Develop the acute cost weights for 2001-02 cost care standards.
MA International 31,825 Review of recruitment and retention of VMO’s in Rural Base Hospitals.
NSW Health Research Group 70,454 Development of quality Health Care Indicators.
Sub-total 450,844
Organisational review
Carla Cranny & Associates 43,260 Review of the Role and Priorities for Rural Referral Hospitals.
Futuretrain 50,000 Review of Bereavement Care Service.
Gleeson Health Care Consulting 73,618 Review of Rural Health Service Delivery.
Health Services Research Group 70,455 Development of Quality Health Care Indicators.
Jacq Hackett 31,743 Review of NSW Rural Aerial Health Service.
Sub-total 269,076
Training
Anne E Lawrence 90,000 Women’s Health Training and Resource Development Initiative.
Sub-total 90,000
TOTAL consultancies equal to or

1,195,863
more than $30,000
APPENDIX
Consultancies less than $30,000
During the year, 71 other consultants were engaged in the following areas:
Area $ Cost
Information technology 207,661

Legal 36,426
Management services 342,263
Environmental 50,583
Engineering 18,000
Organisational review 45,751
Training 18,453
TOTAL consultancies less than $30,000 719,137
Total consultancies 1,915,000
179
Selected significant NSW Health publications
Title Title
● 10 tips to stay well over winter (poster) ● Gap Bulletin No. 5 – Emergency Department and
Intensive Care Services
● A New Approach to Food Safety in NSW – A NSW Health
Information Paper ● GAP Bulletin No. 7 – Strengthening health care in the
community
● Aboriginal Vascular Health Resource Catalogue
● Genetics Services in NSW – 1996-2000
● Active Australia – fired up campaign for culturally and
linguistically diverse (CALD) communities – activity report ● Guide for the management of nicotine dependent
inpatients – flowchart
● Adverse food reactions
● Guide for the management of nicotine dependent
● Appreciating our Volunteers 2002
inpatients – summary of evidence
● Baxter NSW Health Awards 2002 – entry form,
● Guidelines for the management of nursing work
certificates, booklet
experience for school students – a guide for health
● Better Mental Health Care – the NSW MH-OAT Initiative services
– information for health professionals
● Guidelines on Skin Penetration
– assessment training
● Infection Control Policy
● CDU fact sheet – Hep B
● Information Management and Technology Education,
● Cervical cancer screening in NSW Annual Statistical
Training and Development Strategy – a strategy for
Report 2000
NSW healthcare workers
● Chief Health Officer’s fact sheet – Anthrax
50
● Information on pharmacotherapy treatment for medical
● Chief Health Officer’s fact sheet – Listeria practitioners and pharmacists
● Chief Health Officer’s fact sheet – Tick Alert ● Intensive Care Service Plan – Adult Services
● Chronic and Complex Care Performance Measures for ● Management of adults with severe behavioral disturbance
NSW Treasury – methodology applied October 2001 – guidelines for clinicians in NSW, amended May 2002
● City to Surf 2001 – Disaster Medical Team Information ● Managing young children and infants with gastroenteritis
Handbook – clinical practice guidelines
● City to Surf 2002 – Disaster Medical Team Information ● Mental Health for Emergency Departments – a reference
Handbook guide pocket version, amended May 2002
● Community and rural terms for junior doctors in Australia ● Mental health for Emergency Departments – a reference
– a national review guide, amended May 2002
● Consensus guidelines for assessment and management ● Metropolitan Hospitals Report – summary
of depression in the elderly
● Metropolitan Hospitals Report – service enhancement
● Dare to Care – Nursing work experience – student and new roles for the metropolitan hospitals
handbook
● Multimedia – what is it and where to find it
● Drinking water and public health
● NSW Government Action Plan – Framework for
● Emergency Department Service Plan rehabilitation for mental health – summary
● Fact sheet – Cruetzfeld-Jacob Disease ● NSW health strategy for the electronic health record
● Fact sheet – Cryposporidosis ● NSW Aboriginal family health strategy
NSW Aboriginal Mental Health Conference – moving

APPENDIX
● Fact sheet – Giadiosis ●

forward together, 1-3 September 1999
● Fact sheet – Legionnaires Disease
● NSW Health Calendar 2002
● Fact sheet – Psittacosis
● NSW Communicable Diseases Health and safety
● Fact sheet – Peanut allergy Guidelines for Sex on Premises Venues
● Family help kit ● NSW EHR Starnet – The electronic health record
newsletter
● NSW food business notification form
● NSW Government action housing and accommodation

support for people with mental health problems and
disorders – summary
180
Selected significant NSW Health publications
Title Title
● NSW Government Action Plan for Health – Chronic and ● Partners in Health – sharing information and making
Complex Care 2000-2003 Progress Report decisions together – summary
● NSW Government Action Plan – Housing and ● Partners in Health – sharing information and making
accommodation for people with mental problems and decisions together. Report of the Consumer and
disorders – report Community Participation Implementation Group
● NSW Health Annual Report – 2000/2001 ● Profile of the dentist labour force in NSW, 1998
● NSW Health at a Glance – DL pamphlet ● Profile of the dentist labour force in NSW, 1999
● NSW Health at a Glance – Central Coast AHS ● Profile of the nursing workforce in NSW, 1999
– DL pamphlet
● Profile of the pharmacist workforce in NSW, 1999
● NSW Health at a Glance – Greater Western Sydney AHS
● Profile of the physiotherapist workforce in NSW, 1999
– DL pamphlet
● Profile of the psychologist labourforce in NSW, 2000
● NSW Health at a Glance – Hunter AHS – DL pamphlet
● Psittacosis Q & A’s
● NSW Health at a Glance – Illawarra AHS – DL pamphlet
● Rabies and bat lyssavirus infection
● NSW Health at a Glance – 2002-2003
● Report of the Information Management and Technology
● NSW Health Department Corporate Plan 2001-2003
Education, Training and Development Working Group
● NSW Health Information Policy
● Report on NSW Health human research ethics committee
50
● NSW Health/Private Hospitals Association of NSW fee policies
Joint Project
● Review of NSW Hepatitis C care and treatment services
● NSW policy for the use of buprenorphine in the treatment – report to the NSW Department of Health
opioid dependence
● Safety Advocate Issue 1, May 2002
● NSW Public Health Bulletin – September 2001
● Safety Advocate Issue 2, June 2002
● NSW Public Health Bulletin – October 2001
● Skin Penetration Code of Best Practice
● NSW Public Health Bulletin – November 2001
● Strategic Direction for NSW Area Managers
● NSW Public Health Bulletin – December 2001 – Aboriginal health
● NSW Public Health Bulletin – January/February 2002 ● Telehealth – information for health professionals
● NSW Public Health Bulletin – March 2002 ● Telehealth – bridging the distance
● NSW Public Health Bulletin – April 2002 ● Telehealth – Child and adolescent mental health services
– supporting rural families
● NSW Public Health Bulletin – May 2002
● Telehealth – Illawarra AHS chronic pain – bridging the
● NSW Public Health Bulletin – June 2002
distance for people with chronic pain
● NSW Public Health Bulletin Supplement – New South
● The Clinicians Toolkit for improving patient care
Wales Mothers and Babies 2000
● The NSW Drug Treatment Data Dictionary
● NSW Public Health Bulletin Supplement – Trends in the
prescribing of stimulant medication for the treatment of ● Tick Alert – brochure
Attention Deficit Hyperactivity Disorder in children and
● Training Needs Review Report – November 2000
adolescents in NSW
APPENDIX
● Treatment Agreement – Conditions of Methadone/
● NSW Public Health Bulletin Supplement – The NSW
Buprenorphine Treatment
Health Survey Program: Overview and methods, 1996-
2000 ● Violence in Emergency Departments – poster
● NSW Public Health Bulletin Supplement – Program for ● Walk it – Active Local Parks – The Effect of Park
Enhanced Population Health Infostructure (PEPHI) Modification and Promotion on Physical Activity
– summary report
● NSW Public Health Forum Communique – Number 1
● Walk it – Active Local Parks – brochure
● NSW temporary food event notification form
● Women’s Health Outcomes Framework
● NSW Youth Alcohol Action Plan 2001-2005
● Your Guide to MH-OAT – Clinician’s reference Guide
● Partners in Health – report of the Consumer and
to NSW Mental Health Outcomes and
Community Participation Implementation Group
181
Significant circulars released by the
Circular Date
number Circular title created
2001/55 Disease prevention – Management of Reportable Infection Control Incidents 4/7/01

2001/56 Medicines and poisons – Section 100 Highly Specialised Drugs Program 6/7/01
2001/57 Environmental health – Recreational Water Monitoring 6/7/01
2001/58 Research management – Responsibilities of Area Health Services (AHS) regarding animal research and the
NSW Animal Research Act (1985) 6/7/01
2001/59 Research management – Responsibilities of Area Health Services (AHS) regarding research involving humans 6/7/01
2001/60 Industrial relations – Superannuation Amendments 12/7/01
2001/61 Industrial relations – Salaried Senior Medical Practitioners Determination Training, Education and Study Leave
(TESL) new funding entitlement 2000-2001 and 2001-2002 26/7/01
2001/62 Health funding – Australian National Sub-Acute and Non-Acute Patient (AN-SNAP) Classification – Snap Data
Collection – Implementation of the NSW Snap Data Collection for Public Hospitals 26/7/01
2001/63 Personnel – NSW Department of Health Recruitment Rescuer – Strategic Recruitment for the NSW Department
of Health 26/7/01
2001/64 Medicines and poisons – Policy on the Handling of Medication in NSW Health Public Hospitals 13/8/01
2001/65 Statewide services – Oral Health Services – Activity Reporting 13/8/01
2001/66 Research management – Responsibilities of Area Health Services (AHS) – Regarding Reporting on
Research Activities 13/8/01
2001/67 Health funding – Day-only Arrangements – Amendments to the Type C List 13/8/01
51
2001/68 Compensation – NSW Department of Health – Workers Compensation & Injury Management Policy 27/7/01
2001/69 Occupational Health and Safety (OHS) – NSW Department of Health – Occupational Health and Safety Policy 27/7/01
2001/70 Disease prevention – Bacille Calmette Guerin Vaccination (BCG) 1/8/01
2001/71 Disease prevention – Health Care Worker Tuberculosis (TB) Screening and Protection Policy 1/8/01
2001/72 Disease prevention – The Role of Tuberculosis (TB) Prevention and Control Services – Chest Clinics in NSW 1/8/01
2001/73 Information management – Inpatient Statistics Collection (ISC) – Public Facilities – Separations Dated from
1 July 2001 9/8/01
2001/74 Equal Employment Opportunity (EEO) – A Framework for Recruitment and Selection 9/8/01
2001/75 Disease prevention – Role of the Area Tuberculosis (TB) Coordinator 9/8/01
2001/76 Disease prevention – Tuberculosis Contact Tracing 9/8/01
2001/77 Financial management – Health Services Act 1997 – Scale of Fees for Hospital and other Health Services 22/8/01
2001/78 Alcohol and other drugs – Guidelines for the Establishment of Private Drug Treatment Clinics in NSW that
Provide Methadone and/or Buprenorphine Services 28/8/01
2001/79 Industrial relations – Visiting Medical Officers – Sessional – Increased Remuneration 28/8/01
2001/80 Nursing – Employment of Undergraduate Nursing Students as Assistants in Nursing in the Public Sector 3/9/01
2001/81 Industrial relations – NSW Health Aboriginal Environmental Health Officer Training Program 3/9/01
2001/82 Government relations – Surgically Implanted Prostheses 6/9/01
2001/83 Personnel – Public Holidays for 2002 6/9/01
2001/84 Alcohol and other drugs – NSW Policy for the use of Buprenorphine in the Treatment of Opioid Dependence 6/9/01
2001/85 Clinical practices – Reporting and Submission Requirements of Data for the NSW Birth Defects Register (BDR) 6/9/01
2001/86 Not issued
APPENDIX
2001/87 Medicines and poisons – Guidelines for Diagnostic and Predictive DNA Testing for Adult Onset Neurogenetic
Disorders with no Definitive Treatment such as Huntington Disease 11/9/01
2001/88 Information management – 2001-2002 DOHRS Reporting Requirements Activity Performance Returns 14/9/01
2001/89 Financial management – Treatment of Salaried Medical Practitioners in Private Practice Groups who are not in
a Partnership 14/9/01
2001/90 Financial management – Health Services Act 1997 – Scale of Fees for Hospital and Other Health Services 25/9/01
2001/91 Disease prevention – Occupational Screening and Vaccination of Health Care Workers against Infectious Diseases 27/9/01
2001/92 Disease prevention – The Provision of Rabies Immunoglobulin (RIG) and Rabies Vaccine for Post Exposure
Treatment (PET) for Rabies and Australian Bat Lyssavirus 2/10/01
2001/93 Financial management – Ambulance Transport Charges 9/10/01
2001/94 Epidemiology and surveillance – Reporting of Maternal Deaths to the NSW Department of Health 9/10/01
2001/96 Information management – Cancer Registry Notifications for Inpatients – Separations Dated from 1 July 2001 23/10/01
2001/97 Government relations – Revised Admitted Patient Election Processes for NSW Public Hospitals 23/10/01
2001/98 Government relations – Urgent Prostheses Hazard Alert and Recall – Advice for NSW Public Hospitals 23/10/01
182
Circular Date
2001/99 Target groups – Guidelines for the Production of Multilingual Health Resources by Area Health Services (AHS),
NSW Department of Health and NGOs funded by NSW Health 25/10/01
2001/100 Government relations – Health Employees Medical Radiation Scientists (State) Award Variation 25/10/01
2001/101 Disease prevention – Hepatitis B Vaccination Policy 25/10/01
2001/102 Community relations – Gift Bags Provided to Mothers of New Born Babies 5/11/01
2001/103 Industrial relations – Skill Trades Staff in the Public Hospital System and the Ambulance Service – Increases to
Wages, Wage Related Allowances and Expense Related Allowances 3/12/01
2001/104 Disease prevention – Management of People with HIV Infection who Risk Infecting Others 3/12/01
2001/105 Health funding – Day-only Arrangements – Amendments to the Type B (day-only) and Type C (exclusion) Lists 3/12/01
2001/106 Personnel – Official Travel 3/12/01
2001/107 Industrial relations – Public Hospital (training wage) Award 3/12/01
2001/108 Industrial relations – Important Changes to Industrial Legislation 3/12/01
2001/109 Industrial relations – Joint Management and Employee Association Policy Statement on Bullying, Harassment
and Discrimination 3/12/01
2001/110 Personnel – National Health and Medical Research Council Research Personnel Salary Scales as of 1 January 2001 3/12/01
2001/111 Occupational Health and Safety (OHS) – Policy and Best Practice Guidelines for the Prevention of Manual
Handling Incidents in NSW Public Health Services 3/12/01
2001/112 Personnel – A Framework for Managing the Disciplinary Process in NSW Health 3/12/01
51
2001/113 Commercial services – Principles for Funding of NSW Public Health Sector Pathology Services 3/12/01
2001/114 Personnel – Classification of Health and Security Assistant 3/12/01
2001/115 Personnel – New Classification – Pharmacy Technician 3/12/01
2001/116 Legal – Release of Assets of Deceased Patients 3/12/01
2001/117 Personnel – Reimbursement of Licence Fees for Security Officers Required to Hold a Security Licence 7/12/01
2001/118 Personnel – Public Hospital Nurses (State) Award – Variation 13/12/01
2001/119 Personnel – Better Practice Guidelines for Including Health and Safety in the Engagement Management and
Evaluation of Contractors in Health Services 17/12/01
2001/120 Personnel – Job Vacancy Qualifications 19/12/01
2001/123 Target groups – Protecting Children and Young People 20/12/01
2001/124 Personnel – Salary Increase for NSW Department of Health Staff Employed under Public Service Awards Covered
by the Public Service Association of NSW (PSA) 20/12/01
2002/1 Environmental health – Use of Rainwater Tanks where a Reticulated Potable Water Supply is Available 23/1/02
2002/3 Nursing – Countersigning of Enrolled Nurse, Trainee Enrolled Nurse or Assistant in Nursing Patient Care Reports 11/1/02
2002/4 Information management – NSW Bushfires – Provision of Relief Staff 23/1/02
2002/5 Mental health – Firearms Security 23/1/02
2002/6 Epidemiology and surveillance – Hospital Procedures for Review and Reporting of Perinatal Deaths 23/1/02
APPENDIX
2002/7 Disease prevention – Authority for Registered Nurses to Provide Immunisation Services 15/1/02
2002/8 Industrial relations – Salary Increase for Staff in Public Hospitals, Health Services and the NSW Ambulance
Service covered by the Health and Research Employees Association (HREA) 23/1/02
2002/9 Records management – Records Management of Electronic Messages (email) Policy and Guidelines 16/1/02
2002/10 Not issued
2002/11 Records management – Records Management Policy Statement 16/1/02
2002/12 Personnel – Accessing Leave Entitlements and Flexible Working Hours Arrangements to Observe Religious Duties 17/1/02
2002/13 Financial management – Review of Fees/Charges under the Public Health Act 1991 including Charges for
Cremation Certificates issued by Salaried Medical Practitioners 18/1/02
2002/14 Financial management – Circular to Public Health Organisations on Approved Level of Actual Accounting Costs
for Level 2-5 SMP Partnerships 6/2/02
2002/15 Information management – Accessing Leave Entitlements and Flexible Work Hours Arrangements to Observe
Religious Duties – 2002 NSW Public Health System 6/2/02
2002/16 Personnel – NSW Department of Health Procedures for the Collection of Staff Exit Information 6/2/02
2002/17 Environmental health – Cremation or Burial of Deceased Destitute Persons 6/2/02
183
Circular Date
2002/18 Personnel – Salary Increase for Salaried Senior Medical Practitioners Definition of ‘Specialist’ in Salaried Senior
Medical Practitioners (State) Award 6/2/02
2002/19 Occupational Health and Safety (OHS) – Effective Incident Response – A Framework for Prevention and
Management in the Health Workplace 12/2/02
2002/20 Government relations – Outpatient Pharmaceutical Charges and Safety Net Arrangements 12/2/02
2002/21 Performance management – Guidelines for the Management of Booked Patient Delays – February 2002 27/2/02
2002/22 Financial management – Charges for Health Records and Medical Reports 27/2/02
2002/23 Information management – Privacy of Personal Information on Aboriginal Staff and Clients 27/2/02
2002/24 Information management – Chaplains – Subsidy 27/2/02
2002/25 Information management – Emergency Volunteers – Bush Fire Fighting Training Courses 27/2/02
2002/26 Research management – Managing Young Children and Infants with Gastroenteritis in Hospitals 2/7/02
2002/27 Clinical practices – Magnesium Sulphate (Mgs04) Infusion Protocol for Eclamptic Seizure Prophylaxis 27/2/02
2002/28 Clinical practices – Minimisation of Neonatal Early Onset of Group B Streptococcal (EOGBS) Infection 27/2/02
2002/29 Clinical practices – Protocol for Administration of Intravenous Hydralazine for Severe Hypertension in Pregnancy 27/2/02
2002/30 Clinical practices – Framework for Area Health Services (AHS) to Develop Policy and Procedures Relating to
Clinical Care and Resuscitation of the Newly Born Infant 27/2/02
2002/31 Information technology and telecommunications – NSW Department of Health Software Control and Distribution 27/2/02
2002/32 Industrial relations – Ambulance Service of NSW Administrative and Clerical Employees Award 27/2/02
51
2002/33 Health Services development – NSW Nurses’ Association Annual Conference and Professional Day 27/2/02
2002/34 Personnel – NSW Department of Health Induction Program 27/2/02
2002/35 Alcohol and other drugs – Intoxicated Persons Amendment Act 2000 and Proclaimed Places – Protocol for
Provision of Services to Homeless People who are Affected by or Addicted to Alcohol and/or Other Drugs 5/3/02
2002/36 Industrial relations – Hairdressers Employed in Public Hospitals and Health Services 5/3/02
2002/37 Financial management – Health Services Act 1997 – Scale of Fees for Hospital and Other Health Services 21/3/02
2002/38 Personnel – Job Vacancy Requirements 21/3/02
2002/39 Industrial relations – Salary Increase for Teachers (Non-Government Early Childhood Service Centres other than
Pre-schools) (State) Award 21/3/02
2002/40 Industrial relations – New Salary Rates for Electronic Technicians 21/3/02
2002/41 Information management – Pay Slips and Employers’ Records 2/4/02
2002/42 Industrial relations – Sessional Visiting Medical Officers (VMOs) – Increased Remuneration 2/4/02
2002/43 Industrial relations – Sessional Visiting Medical Officers (VMOs) – Increased Remuneration 2/4/02
2002/44 Industrial relations – Fee for Service Visiting Medical Officers (VMOs) – Increased Remuneration 8/4/02
2002/45 Disease prevention – Infection Control Policy 11/4/02
2002/47 Industrial relations – Health Service Managers, Level 3 and above Health Managers (State) Award – Approval
for Non Attendance at Work 17/4/02
2002/48 Industrial relations – Health and Community Employees Psychologists (State) Award 26/4/02
2002/49 Clinical practices – Protocols for Administration of Tocolytic Agents (Intravenous Salbutamol or Oral Nifedipine)
for Threatened Preterm Labour 26/4/02
APPENDIX
2002/50 Equal Employment Opportunity (EEO) – Joint Management, Public Service Association (PSA) and NSW Nursing
Association Statement on Bullying, Harassment and Discrimination 1/5/02
2002/51 Legal – Advertising of Personal Injury Services by Lawyers in Hospitals 3/5/02
2002/52 Clinical practices – Hospital Protocol for Unexpected Infant Death 16/5/02
2002/53 Community relations – Gift Bags Provided to Mothers of New Born Babies 6/6/02
2002/54 Target groups – Change of Terminology – Early Childhood Health to Child and Family Health 6/6/02
2002/55 Workforce planning – NSW Health Junior Medical Staff Recruitment for Clinical Year 2003 6/6/02
2002/56 Statewide services – Provision of Services Under the Pensioners Dentures Scheme by Private Dental Providers
(Dental Practitioners and Dental Prosthetists) 4/6/02
2002/57 Industrial relations – Payment of Visiting Medical Officers in Rural Doctors Settlement Package Hospitals
Indexation of Fees from 1 January 2002 13/6/02
2002/58 Clinical practices – Charging for Consumables Used in Home Based Treatment of Bleeding Disorders 14/6/02
2002/59 Records management – Policy and Guidelines for the Physical Storage of NSW Department of Health Records 14/6/02
2002/60 Industrial relations – Payment of Private Practice Medical Indemnity Insurance Premiums from
Private Practice Revenue for Salaried Senior Medical Practitioners – Financial Year 2001-2002 18/6/02
184
gi page
187
189
contents
Glossary of terms
Index
Glossary
and Index
185
Glossary of terms g
Admission Clinical Pathways
is the process by which a person commences is the systematic approach to achieving
a period of residential care. particular outcomes for an inpatient, which
identifies the resources required in amount
Admitted patients
and sequence for that type of case.
are those accepted by a hospital for inpatient
care. Chargeable Inpatients
is any admitted patient or registered
Average Length of Stay (ALOS)
non-inpatient for whom a charge can be
is the average number of days each admitted raised by a hospital or Area Health Service
patient stays in hospital.This is calculated for the provision of health care.
by dividing the total number of occupied
bed days for the period by the number Complexity (Emergency Department attendances)
of actual separations in the period. is a measure (weighting) of the resources
required to treat patients based on their
Accrual Accounting
urgency, status at departure from the
recognises revenues and expenses in the Emergency Department and age.
accounting period in which goods and services
are provided or consumed, rather than in Diagnosis Related Groups (DRG’s)
periods when cash is received or paid. is a system designed to classify every acute
In addition, it provides information on the inpatient episode from admission to discharge
assets and liabilities of an economic entity. into one of approximately 500 coding classes.
Each group contains only patients who have
Ambulatory Care
similar clinical conditions and treatment costs.
is any form of care other than as a hospital
inpatient. Day of Surgery Admission (DOSA)
involves patients who require an overnight stay
Best Practice
in hospital following their procedure but are
is identifying and matching the best admitted to hospital on the day of surgery.
performance of others.
Inpatient
Bed Days
is a person who is admitted to hospital.
is the total number of bed days of all admitted
patients accommodated during the period Multi-Purpose Service (MPS)
being reported taken from the count of combines a local hospital with community and
the number of inpatients at midnight residential aged care services (nursing home
GLOSSARY
(approximately) each day. Details for Same Day and sometimes hostel) under one management
patients are also recorded as Occupied Bed structure. An MPS is not purely a hospital, a
Days where one Occupied Bed Day is nursing home, a hostel or a community health
counted for each Same Day patient. service, but a combination of such services.
Bed Occupancy Rate Non-Admitted Patient Services (NAPS)

is the percentage of available beds which have are services provided to clients/patients
been occupied over the year. It is a measure without being admitted to hospital, for
of the intensity of the use of hospital resources example, Emergency Department services,
by inpatients. outpatient department services and community
health services.
187
g Glossary of terms
Performance Agreement Telehealth

is an agreement between the Director-General is a network currently connecting over 157
and public health organisations, as outlined health facilities around NSW improving access
under the Health Services Act 1997. to health care services for patients especially
The Agreement contains agreed objectives living in rural and remote communities. It uses
and goals and defines accountabilities and telecommunications to carry pictures, videos
measure performance. and information across long distances so health
professionals and patients can decide treatment
Same-day surgery
options without the need for travel.
involves the patient being admitted and
discharged on the day of surgery. Triage
is an essential function of Emergency
Specialist
Departments where many patients may present
is a doctor who has extra qualifications in at the same time.Triage aims to ensure that
one or more clinical areas of practice. patients are treated in the order of their clinical
Some examples of specialists are gynaecologists, urgency and that their treatment is timely.
ophthalmologists and neurosurgeons.
Waiting time
Specialty
is the amount of time (reported in days, weeks
is the term used to describe the particular or months) that a patient has waited for
field of medicine in which a specialist doctor admission to hospital. It is measured from the
practises, eg. orthopaedics, urology, gynaecology. day the hospital receives a Recommendation
for Admission form for the patient until the
patient is admitted.
GLOSSARY
188
Index
a b
i
Aboriginal health................................................60, 84 Barker, Ken...........................................................85-8
funding for .....................................................110-11 Baxter better health awards.....................................173
sexual assault survivors .........................................129 bed occupancy..................................................11, 123
Aboriginal Traineeship Program .............................132 behaviour, code of conduct ....................................146
accounting policies .............................................47-53 benefits received .....................................................147
accounts payable..........................................52, 66, 118 Better Health Centre Publications Warehouse...........78
accounts receivable......................................52, 62, 118 Better Service Delivery Program ............................163
Action Plan for Health.............................................37 Better Value goal .........................................5, 160, 162
activities, key results ............................................11-12 birthing services .....................................................113
Acts administered by the Minister for Health ......120-1 booked surgery, waiting lists .....................................12
addresses...................................................................78 borrowing costs........................................................56
administered activities, accounting policies ...............51 bribes .....................................................................147
Administrative Decisions Tribunal, budgeting...................................................................8
reviews by.................................................138-9, 142 budgeted amounts ..............................................52-3
admissions, key results .........................................11-12 compliance with financial directives .......................44
adolescents, psychiatric care.................................123-4 performance against allocation............................36-9
age analysis of accounts ..........................................118 review of ...............................................................74
AIDS, funding for NGOs..................................111-12 bullying by employees ............................................149
aim of NSW Health...................................................5 bushfire emergency coordination..............................10
alcohol use by employees .......................................149 Business Unit ...........................................................84
alternative birthing services ....................................113 by-laws, new ..........................................................121
Ambulance Service of NSW .........................93, 102-4
ambulatory mental health care................................124 c
amortisation...........................................49-50, 56, 101 capital works see also property assets
appropriations.....................................................42, 59 by AHS ............................................................102-4
Area Health Services ..................................................4 commitments for ...................................................70
capital works by................................................102-4 funding of ..........................................................36-8
cash allocations ......................................................39 career development ................................................135
energy management .........................................143-4 caseflow rate.............................................................11
ethnic affairs priority statement ......................159-62 cash allocations.........................................................39
maps of ..............................................................94-5 cash, current assets....................................................61
performance indicators .......................................96-8 cash flows.................................................................44
profiles .............................................................89-93 accounting policies .............................................51-2
Asset and Procurement Management directorate ......82 budget review of....................................................74
assets reconciliation of.....................................................73
accounting policies ...........................................49-51 Central Coast AHS ..................................89, 95, 102-4
acquisition of .........................................................38 Central Sydney AHS................................89, 95, 102-3
budget review of....................................................74 Centre for Education and Information on
by type...............................................................63-5 Drugs and Alcohol.................................................51
current levels....................................................43, 61
Centre for Epidemiology and Surveillance ...............84
donations of...........................................................73
financial instruments ..............................................75 Centre for Health Promotion...................................84
revenue from disposal of ........................................58 Centre for Health Protection ...................................84
Audit Division Centre for Mental Health.........................................83
branches ..................................................................4 certification of accounts ...........................................40
INDEX
Deputy Director-General ........................................7 charities, fundraising by ............................................72

fraud investigation................................................151 Chief Financial Officer .........................................85-8
implementation of recommendations ...................168 Chief Health Officer alerts.........................................9
performance .......................................................22-3 see also Public Health Division
responsibilities........................................................79 Chief Information Officer........................................87
audit of accounts ......................................................41 Chief Nursing Officer..............................................82
Australian Football League youth childbirth ...............................................................113
smoking sponsorship..............................................10
children...........................................................8, 123-4
awards.............................................................135, 173
Children’s Hospital at Westmead .......................93, 102
189
i Index
CHRIS ..................................................................134 Deputy Director-Generals.................................7, 85-7

circulars, departmental .................................150, 182-4 development see research and development
code of conduct................................................146-50 Director-General .................................................i, 3, 7
commitment to service...........................................164 disability plan .........................................................131
committees .........................................................177-8 disasters, response to .................................................10
Communications Division discrimination by employees...................................149
branches ..................................................................4 Divisional Support Unit ...........................................83
Deputy Director-General ........................................7 Divisions, performance of.........................22-33, 79-84
performance .......................................................23-4 domestic violence policy.....................................128-9
responsibilities........................................................80
donations, assets received as ......................................73
community health ..................................................100
‘Don’t be a sucker’ campaign....................................10
community services................................................113
Drug Programs Bureau ............................................84
complaints ..........................................................164-5
drug services ..........................................................114
Complete Human Resources Information System..134
drug use by employees ...........................................149
compliance with financial directives .........................44
compliments .......................................................164-5
e
computer resources, use of ..................................147-8
EEO ......................................................................132
confidential information.........................................148
electronic service delivery ......................................163
conflicts of interest..............................................146-7
email facilities, use of ..........................................147-8
consolidated financial statements ..............................39
Embracing innovation priority.......................5, 18-19, 158
consultants used......................................................179
Emergency Departments .............................11, 98, 100
Consumer and Community Development
Emergency Services program ...................................60
branch ...................................................................83
employee entitlements see also human resources
Consumer and Community Participation
accounting policies .............................................47-8
Group ..............................................................8, 165
expenses related to.................................................54
consumer responses.............................................164-5 leave ......................................................................48
contingent liabilities .................................................72 liabilities relating to ..........................................59, 68
contributions, financial .............................................58 three year comparison..........................................101
copyrighted material ...........................................148-9 Employee Relations directorate ................................82
Corporate Administrative Services branch ................81 employees
corporate charter .......................................................5 after leaving DOH .................................................149
Corporate Computing Services branch ....................81 employment screening............................................149
Corporate Personnel Services branch .......................81 numbers of.............................................................170
corporate plan.....................................................156-8 outside employment by full-time staff.....................147
Corporate Records Services branch .........................81 overseas visits ......................................................174-6
corruption ......................................................148, 152 energy management............................................143-5
Counter Disaster Planning and Response branch .....84 Energy Performance Contracts ...........................143-4
credit card certification...........................................155 Environmental Health Branch ..................................78
credit risk.................................................................75 equal employment opportunity ..............................132
crime, victims of.....................................................117 equipment.......................................................49, 64-5
criminal record checks ......................................23, 149 equity (code of conduct) ........................................146
customer feedback ..............................................164-5 equity, financial ........................................................69
Equity Management Plan....................................131-2
d ethical issues......................................................146-50
Dental Practice Act 2002...........................................120 ethnic affairs priority statement.........................159-62
INDEX
Department of Health see NSW Health Excellence awards...................................................135

departmental circulars..................................150, 182-4 Executive and Corporate Support Division ..............80
departmental publications ...................................180-1 branches ..................................................................4
departmental resources, use of ................................147 Deputy Director-General ........................................7
depreciation performance .......................................................26-7
accounting policies ...........................................49-50 executive members.....................................................7
expenses related to.................................................56 expenses...................................................................42
three year comparison..........................................101 by program ............................................................44
by type ..................................................................56
190
Index
commitments for ...................................................70 Health NSW see NSW Health

i
consolidated...........................................................39 Health Participation Council.....................10, 153, 165
three year comparison..........................................101 health professionals
facility fees paid by ................................................49
f numbers of ..........................................................171
Fairer Access goal ...............................5, 159-60, 161-2 registration board...................................................78
fairness, code of conduct ........................................146 health promotion ...................................................114
Far West AHS ..........................................91, 94, 102-3 Health Quality and Clinical Policy Branch.............166
Finance and Business Management directorate .........82 Health Services Act 1997 ..............................................2
financial assets.....................................................51, 63 Healthier People goal ..................................5, 159, 161
financial instruments........................................51-2, 75 heritage issues.........................................................104
financial statements .............................................35-46 highlights for the year ...........................................8-10
FOI ..................................................................138-42 history of NSW Health..........................................172
Food Branch ............................................................78 homeless youth ......................................................114
Forensic Medicine Department ................................78 Honorary Medical Officers ....................................136
forward planning ......................................................37 hospitality received .................................................147
Foveaux Street Site...................................................78 hospitals
fraud policy ........................................................151-2 beds in, by AHS .....................................................97
Freedom of Information ...................................138-42 psychiatric hospitals...................................123, 125-7
statewide statistics.................................................100
fringe benefits tax.....................................................54
website information on............................................8
Funding and Systems Policy branch .........................83
human resources.................................59, 134-5, 147-9
fundraising by charities.............................................72 see also employee entitlements
Hunter AHS.....................................89, 95, 102-4, 143
g
Gates, David.............................................................86 i
Gender Equity in Public Institutions ......................129 ICE ....................................................................9, 153
gifts ........................................................................147 Illawarra AHS...................................89, 95, 102-3, 143
Gladesville Hospital Campus ....................................78 Implementation Working Groups ...........................153
glossary of terms .................................................187-8 indicators
goals, NSW Health ....................................................5 financial .................................................................39
goods and services, revenue from sale of ...................57 key results ..............................................................12
Goods and Services Tax............................................49 infectious disease notifications ................................169
Government Action Plan ..................................83, 153 Information Management directorate .......................82
government contributions...................................42, 59 Information Production and Distribution Branch.....80
Government Relations branch .................................83 Informed decision making priority .....................5, 17, 158
grants from NSW Health....................................105-9 innovative services for homeless youth....................114
by program.....................................................110-17 Institute of Clinical Excellence ...........................9, 153
expenses related to.................................................56 Institute of Trauma and Injury Management...........154
three year comparison..........................................101
insurance liabilities .............................48, 54, 72, 136-7
grants to NSW Health, revenue from .......................57
intellectual property ............................................148-9
Greater Metropolitan Transition Taskforce ..............154
Intensive Care units ..........................................38, 153
Greater Murray AHS........................91, 94, 102-3, 143
interest bearing liabilities ....................................52, 67
GST.........................................................................49
interest rate risk........................................................75
gynaecologists ........................................................136
Internet facilities
DOH website ..........................................................8
h
INDEX
electronic service delivery ....................................163

harassment by employees ........................................149 misuse of ..........................................................147-8
Health Administration Act 1982 ...............................3, 47 inventories..........................................................51, 62
Health Administration Corporation ......................3, 47 investments .........................................................52, 57
Health Care Liability Act 2001 .................................120
Health Minister ...................................................i, 3, 7 j
Jakubowski, Liz.....................................................7, 80
191
i Index
k n
key initiatives, funding for .....................................37-8 National Mental Health Information
Knowles, Craig ....................................................i, 3, 7 Development Agreement .....................................122
Kruk, Robyn .......................................................i, 3, 7 National Survey of Mental Health Services ............122
National Women’s Health.......................................116
l Net Cost of Services ................................................74
leased assets.........................................50-1, 64-5, 70-1 New Children’s Hospital...................................23, 102
leave entitlements.....................................................48 New England AHS ..................................92, 94, 102-3
see also employee entitlements non-admitted patients .........................................11-12
Legal and Legislative Services directorate..................82 non-current assets ....................................................50
legal issues non-government organisations ..........................110-17
Acts administered by the Minister for Health....120-1 North Sydney Office ...............................................78
code of conduct...................................................150 Northern Rivers AHS ..........................92-3, 94, 102-3
liabilities at law...............................................72, 136 Northern Sydney AHS ...............89-90, 95, 102-3, 143
wrongful life ........................................................121
notes to financial statements................................47-75
length of stay............................................................11
NSW Government Action Plan for Health...............37
liabilities
NSW Health..............................................................2
assumed by Crown ................................................59
addresses and phone numbers ................................78
budget review of....................................................74
budget for see budgeting
by type .........................................................66-8, 72
reporting entity......................................................47
contingent liabilities at law...................................136
responsibilities..........................................................3
current levels .........................................................43
financial instruments ..............................................75 NSW Treasury Managed Fund Scheme....48, 72, 136-7
‘Nurses Re-Connect’ Initiative...................................9
m nursing homes..........................................................97
Macquarie AHS ...................................91-2, 94, 102-3
maintenance and repairs ..............................50, 56, 101
o
maladministration ...................................................148 obstetricians ...........................................................136
Management Skills Program ...................................135 occupational health and safety..........129, 133, 137, 149
maps of Area Health Services ................................94-5 Office of the Chief Nursing Officer.........................82
Margaret Samuel Memorial Scholarship Ombudsman, decisions reviewed by.............138-9, 142
for Women...........................................................135 Online Services Development Branch ......................80
Marketing and Events branch ...................................80 operational management ............................................3
McGregor, Robert ..........................................7, 82, 85 Operations Division .................................................82
Media Liaison Unit ..................................................80 branches ..................................................................4
Deputy Director-General ........................................7
Medical Education Training and Workforce branch...84
performance .......................................................28-9
medical records, access to .......................................164
Optometrists Act 2002 ..............................................120
Medline, PHB indexed in...........................................9
Oral Health branch ..................................................83
Mental Health Act 1990........................................122-4
orders, new.............................................................121
Mental Health Disaster Response Handbook ..........10, 153
Ordinary Activities ...................................................74
mental health patients
organisation chart.......................................................6
bed management system ......................................122
Mental Health Services program ...............60, 115-16 outpatient services ............................................60, 100
Mental Health Workplan......................................154 outside employment by full-time staff.....................147
responsibilities towards .........................................164 Overnight Acute Inpatient Services program ............60
Methadone Program ................................................78 overseas visits by employees.................................174-6
INDEX
MH-OAT ..............................................................122
Mid North Coast AHS ............................92, 94, 102-3 p
Mid Western AHS ............................92, 94, 102-3, 143 paediatric networking ................................................8
Milkins, Rosemary ...............................................7, 80 palliative care..........................................................116
Minister for Health...................................i, 3, 7, 120-1 parliamentary appropriations...............................42, 59
Multicultural Health Communication Service..........78 Partners in Health report ......................................8, 165
My Health Record.............................................154, 167
192
Index
patients public health organisations......................................2, 4

i
fees charged to.......................................................49 Public Health Outcome Funding Agreement ..119, 129
key results.........................................................11-12 Public Health Unit Network .....................................9
responsibilities towards .........................................164 publications.........................................................180-1
purchasing policy ...................................................145
payables.......................................................52, 66, 118
purpose of NSW Health ............................................5
payroll tax ................................................................54
performance
against budget allocation.....................................36-9
q
financial indicators .................................................42 Quality and Clinical Policy branch...........................83
implementation of recommendations ...................168 quality assurance reviews ..........................................22
personal behaviour .................................................146 Quality Health Care goal ............................5, 160, 162
personnel policies and practices................134-5, 147-9 quality initiatives..........................................135, 166-7
Pharmaceutical Services Branch ...............................78
PHOFA..........................................................119, 129 r
Physiotherapists Act 2001..........................................121 Realising the goals of NSW Health
Picone, Deborah .............................................7, 82, 86 priority..................................................5, 13-15, 156
planning...................................................................37 receivables ...................................................52, 62, 118
plant and equipment .......................................49, 64-5 reclassifications in accounting ...................................53
Policy Division.........................................................82 recycling ................................................................145
branches ..................................................................4 ReferralLink facility .................................................163
Deputy Director-General ........................................7 Regional Violence Prevention Strategy...................128
performance .......................................................30-1 regulations, new .....................................................121
Population Health Services program.........................60 Rehabilitation and Extended Care Services
post employment by ex-DOH staff ........................149 program.................................................................60
Primary and Community Based Services rehabilitation services .............................................100
program .......................................60, 111-12, 116-17 Reid, Michael ............................................................7
Primary Health and Community Care branch..........83 repairs .........................................................50, 56, 101
priorities research and development ........................49, 84, 105-6
achievement of ......................................13-21, 156-8 resource recovery ...................................................145
ethnic affairs priority statement ......................159-62 responsibilities of NSW Health ..................................3
NSW Health ...........................................................5 restricted assets .........................................................66
privacy management plan .......................................130 revenue ....................................................................42
private health sector accounting policies .............................................48-9
hospital care, by AHS .............................................99 by program ............................................................44
key results ..............................................................11 by type...............................................................57-8
psychiatric care.............................................124, 127 risk management.............................................137, 152
rural doctors services ..............................................117
professional behaviour ............................................146
Rural Government Action Plan for Health...............38
programs
Rural Health Implementation Group .....................154
expenses and revenues............................................44
funding to NGOs under.................................110-17 Rural Hospital and Health Service Program...............8
objectives of...........................................................60
property assets ...............................................64-5, 104 s
Protected Disclosures Act 1994 ...................................148 safety see occupational health and safety
psychiatric hospitals .....................................123, 125-6 Safety Advocate.........................................................166
Psychologists Act 2001 ..............................................121 salaries see employee entitlements
INDEX
public comment, code of conduct ..........................148 sale of goods and services .........................................57
Public Finance and Audit Act 1983, exemption from....53 Same Day Acute Inpatient Services program ............60
Public Health Bulletin...................................................9 SCI MH-OAT .......................................................122
Public Health Division .............................................84 security of information...........................................148
branches ..................................................................4 senior executives ...................................................85-8
Deputy Director-General ........................................7 separations..............................................................100
performance .......................................................32-3 service, commitment to ..........................................164
193
i Index
Service Contact Information Mental Health u

Outcomes and Assessment Tools...........................122
unclaimed monies ....................................................73
ServiceLink facility...................................................163
Universal Newborn Hearing Screening Program......38
services, revenue from sale ........................................57
Sharing a clear direction priority .......................5, 16, 157
v
Sinclair Report on Health Services in Smaller Towns .........9
values, NSW Health...................................................5
Skilled valued workforce priority .......................5, 17, 157
victims of crime support ........................................117
smoking, campaign against .......................................10
violence against women ......................................128-9
Sobski, Jozefa ...........................................................87
violence in the workplace ......................................137
South Eastern Sydney AHS......................90, 95, 102-3
vision, NSW Health...................................................5
South Western Sydney AHS.....................90, 95, 102-3
Visiting Medical Officers........................................136
Southern AHS .........................................93, 94, 102-3
voluntary services.....................................................73
special investigations.................................................22
specialists see also health professionals
facility fees paid by ................................................49
w
wages see employee entitlements
Spokeswomen’s Program ........................................132
waiting lists, booked surgery.....................................12
Staff Awards for Excellence.....................................135
Walker,Victoria ....................................................7, 79
Staff Records Management branch...........................79
waste reduction...............................................145, 148
Stanton, John..........................................................144
website, hospital information on.................................8
statewide health services .......................................4, 83
Wentworth AHS......................................90, 95, 102-3
Stewart, Greg ..................................................7, 84, 87
Western Sydney AHS....................90-1, 95, 102-4, 143
Strengthening Health Care in the Community..............153
Westmead Children’s Hospital...........................93, 102
Studdert, Justice......................................................121
whistleblowing................................................148, 152
subsidies see grants from NSW Health
Wilson, Andrew .........................................................7
superannuation benefits ............................................48
winter strategy .........................................................12
surgery waiting lists ..................................................12
women’s health
alternative birthing services ..................................113
t funding for NGOs .......................................116, 117
Teaching and Research program...............................60 NSW Government Action Plan for Women......128-9
telephone numbers...................................................78 workers compensation
The Children’s Hospital....................................93, 102 claims by type ......................................................136
Third Schedule Organisations ..................................72 decline in claims ..................................................133
tobacco use campaign ..............................................19 expenses related to.................................................54
travel benefits .........................................................147 hindsight adjustment..............................................72
Treasury Managed Fund Scheme .............48, 72, 136-7 Working partnerships and engaging the community
trust funds ..........................................................51, 71 priority .................................................5, 18-19, 157
workplace safety...............................129, 133, 137, 149
wrongful life, judicial decisions ...............................121
INDEX
194
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at $7.96 per copy.
2001-02 Annual Report NSW Health
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NSW Dept Health 2001-02

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NSW Department of Health

2001-02 Annual Report

Corporate section ....................................................................1-33

NSW Health system............................................................................2

Corporate charter ...............................................................................5

Executive members ............................................................................7

Highlights for the year ..................................................................8-10

Key activity results ......................................................................11-12

NSW Health performance achievements..................................13-21

Financial section ....................................................................35-75

Performance against 2001-02 Budget Allocation.....................36-39

Certification of Accounts .................................................................40

Independent Audit Report ...............................................................41

Appendix section ..................................................................77-184

Glossary of terms ......................................................................187

NSW DEPARTMENT OF HEALTH

© NSW Department of Health

SHPN (COM) 020230

For further copies of this document please contact:

Further copies of this report can be downloaded from

The Hon. Craig Knowles MP

Letter to the MINISTER

NSW Health system

8 Highlights for the year

11 Key activity results for 2001-02

The aim of NSW Health is to provide

rehabilitation, counselling and many community

The structure of the NSW Health system

NSW Minister for Health

Operational management Regulatory functions

in 2001-02, ● Information Production and Distribution ● Greater Murray AHS

● Consumer and Community Development

Our values other states.

Our aim ● implementing the NSW Aboriginal

– Clinical Program – Asset Management Implementation

Rural Health Service and Capital – Information and Business Solutions

MINISTER FOR HEALTH

$8.34B NSW Health Budget

Chief Health Officer’s Alerts

Public Health Bulletin ‘Nurses Re-Connect’ Initiative

Health Participation Council

Participation Group, Partners in Health –

Non-admitted patients area are now

Source. NSW Department of Health, 2002

Summary of indicators for the NSW Public Hospital System 2001-02

Indicators 2001/02 Result % Change over 2000/01

on the hospital Efficiency

Source: NSW Health Department, 2002

The Winter Strategy Booked patient access

A Realising the goals of NSW Health

A Realising the goals of NSW Health

A Realising the goals of NSW Health

cardiovascular disease. Operations, Policy

B Sharing a clear direction

chronic care services. Operations, Policy

C Skilled valued workforce

D Working partnerships and engaging the community

Training (ADAP-T). Primary Health and Community Care

D Working partnerships and engaging the community

Support quality improvements in health-funded non-government organisations. Operations